| Blue Lotus Counseling & Consulting Services | |
|
586 Main St Ste 12 Stroudsburg PA 18360-2004 | |
| (570) 534-0324 | |
| Not Available |
| Full Name | Blue Lotus Counseling & Consulting Services |
|---|---|
| Speciality | Social Worker |
| Location | 586 Main St Ste 12, Stroudsburg, Pennsylvania |
| Authorized Official Name and Position | Tara Lynn James (OWNER/THERAPIST) |
| Authorized Official Contact | 5705340324 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Lotus Counseling & Consulting Services 586 Main St Ste 12 Stroudsburg PA 18360-2178 Ph: (570) 534-0324 | Blue Lotus Counseling & Consulting Services 586 Main St Ste 12 Stroudsburg PA 18360-2004 Ph: (570) 534-0324 |
| NPI Number | 1972196491 |
|---|---|
| Provider Enumeration Date | 02/16/2021 |
| Last Update Date | 10/24/2023 |
| Certification Date | 10/24/2023 |
| Medicare PECOS PAC ID | 6800244435 |
|---|---|
| Medicare Enrollment ID | O20231121000792 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972196491 | NPI | - | NPPES |
| Provider Name | Tara L James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669051868 PECOS PAC ID: 7618325242 Enrollment ID: I20231121000869 |
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