| Lotus Bloom Psychology, Llc | |
|
362 W Madison St Ste 120-293 Lombard IL 60148-3218 | |
| (785) 766-9272 | |
| Not Available |
| Full Name | Lotus Bloom Psychology, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 362 W Madison St Ste 120-293, Lombard, Illinois |
| Authorized Official Name and Position | Ashley Houchin (OWNER) |
| Authorized Official Contact | 7857669272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Bloom Psychology, Llc 924 W 75th St Ste 120-293 Naperville IL 60565-6193 Ph: (785) 766-9272 | Lotus Bloom Psychology, Llc 362 W Madison St Ste 120-293 Lombard IL 60148-3218 Ph: (785) 766-9272 |
| NPI Number | 1508531203 |
|---|---|
| Provider Enumeration Date | 08/13/2021 |
| Last Update Date | 09/04/2021 |
| Certification Date | 09/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508531203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
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