| Lotus Behavioral Health Llc | |
|
4010 Carlisle Blvd Ne Albuquerque NM 87107-4532 | |
| (401) 954-1397 | |
| Not Available |
| Full Name | Lotus Behavioral Health Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4010 Carlisle Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Molly Leigh Mazer (OWNER) |
| Authorized Official Contact | 4019541397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Behavioral Health Llc 1414 Cornell Dr Ne Albuquerque NM 87106-3702 Ph: (401) 954-1397 | Lotus Behavioral Health Llc 4010 Carlisle Blvd Ne Albuquerque NM 87107-4532 Ph: (401) 954-1397 |
| NPI Number | 1003220401 |
|---|---|
| Provider Enumeration Date | 06/13/2014 |
| Last Update Date | 01/29/2025 |
| Certification Date | 01/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003220401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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