MEDICARE: BLUE LOTUS COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1093682858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLUE LOTUS COUNSELING LLC

Provider Business Mailing Address
First Line	:	672 MAIN ST STE 2M
Second Line	:
City	:	HARLEYSVILLE
State	:	PA
Zip	:	19438-1679
Country	:	US
Telephone Number	:	610-454-8700
Fax Number	:

Provider Business Practice Location Address
First Line	:	672 MAIN ST STE 2M
Second Line	:
City	:	HARLEYSVILLE
State	:	PA
Zip	:	19438-1679
Country	:	US
Telephone Number	:	610-454-8700
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DEEPA PARTHASARATHY
Credential	:	PH.D, LPC
Telephone Number	:	610-454-8700

Provider Enumeration Date	:	10/17/2025
Last Update Date	:	10/17/2025

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