| Desert Lotus Healing Therapy Llc | |
|
4 Manzano Viejo El Prado NM 87529-5044 | |
| (575) 741-0472 | |
| Not Available |
| Full Name | Desert Lotus Healing Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4 Manzano Viejo, El Prado, New Mexico |
| Authorized Official Name and Position | Kara Andresen (OWNER) |
| Authorized Official Contact | 5757410472 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Lotus Healing Therapy Llc 4 Manzano Viejo El Prado NM 87529-5044 Ph: (575) 741-0472 | Desert Lotus Healing Therapy Llc 4 Manzano Viejo El Prado NM 87529-5044 Ph: (575) 741-0472 |
| NPI Number | 1508592890 |
|---|---|
| Provider Enumeration Date | 07/28/2022 |
| Last Update Date | 07/28/2022 |
| Certification Date | 07/28/2022 |
| Medicare PECOS PAC ID | 3971988502 |
|---|---|
| Medicare Enrollment ID | O20220919002106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508592890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kara J Andresen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609965714 PECOS PAC ID: 5294914123 Enrollment ID: I20110125000644 |
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