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NPI Code Detail

MEDICARE: LOTUS COUNSELING SERVICES, LLC

MEDICARE: LOTUS COUNSELING SERVICES, 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
11041C0700XClinical Social WorkerSW11721FL

General Provider Information

NPI Number : 1609287523
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOTUS COUNSELING SERVICES, LLC
Provider Business Mailing Address
First Line : 3825 HENDERSON BLVD STE 405
Second Line :
City : TAMPA
State : FL
Zip : 33629-5012
Country : US
Telephone Number : 813-541-3229
Fax Number : 813-654-7684
Provider Business Practice Location Address
First Line : 3825 HENDERSON BLVD STE 405
Second Line :
City : TAMPA
State : FL
Zip : 33629-5012
Country : US
Telephone Number : 813-541-3229
Fax Number : 813-654-7684
Authorized Official
Title or Position : OWNER
Name : MS. LINDA MARIA DORREMOCEA
Credential : LCSW
Telephone Number : 813-541-3229
Provider Enumeration Date : 05/13/2014
Last Update Date : 05/13/2014

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Directions to “LOTUS COUNSELING SERVICES, LLC ” Practice Location

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