Healthcare Provider Details
I. General information
NPI: 1699247189
Provider Name (Legal Business Name): LOTUS HOPE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/20/2018
Last Update Date: 12/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
87 E MAIDEN ST STE 32
WASHINGTON PA
15301-4964
US
IV. Provider business mailing address
87 E MAIDEN ST STE 32
WASHINGTON PA
15301-4964
US
V. Phone/Fax
- Phone: 412-952-3449
- Fax:
- Phone: 412-952-3449
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SANDRA
MARIA
PATTINATO
Title or Position: THERAPIST
Credential: LPC
Phone: 412-952-3449