| Lotus Behavioral Health Llc | |
|
1215 Manatee Ave W Ste 107 Bradenton FL 34205-7517 | |
| (941) 404-6006 | |
| Not Available |
| Full Name | Lotus Behavioral Health Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1215 Manatee Ave W Ste 107, Bradenton, Florida |
| Authorized Official Name and Position | Judith Lescano (PSYCHOTHERAPIST/COUNSELOR) |
| Authorized Official Contact | 9414046006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Behavioral Health Llc 1215 Manatee Ave W Ste 107 Bradenton FL 34205-7517 Ph: (941) 404-6006 | Lotus Behavioral Health Llc 1215 Manatee Ave W Ste 107 Bradenton FL 34205-7517 Ph: (941) 404-6006 |
| NPI Number | 1851071278 |
|---|---|
| Provider Enumeration Date | 07/20/2023 |
| Last Update Date | 07/20/2023 |
| Certification Date | 07/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851071278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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