| Lotus Care Psychological Services, Pllc | |
|
3988 Balfour Rd Shannon NC 28386-9302 | |
| (305) 710-1225 | |
| Not Available |
| Full Name | Lotus Care Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 3988 Balfour Rd, Shannon, North Carolina |
| Authorized Official Name and Position | Alina Contino (OWNER) |
| Authorized Official Contact | 3057101225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Care Psychological Services, Pllc 3988 Balfour Rd Shannon NC 28386-9302 Ph: (305) 710-1225 | Lotus Care Psychological Services, Pllc 3988 Balfour Rd Shannon NC 28386-9302 Ph: (305) 710-1225 |
| NPI Number | 1104565407 |
|---|---|
| Provider Enumeration Date | 06/03/2022 |
| Last Update Date | 06/03/2022 |
| Certification Date | 06/03/2022 |
| Medicare PECOS PAC ID | 8022484369 |
|---|---|
| Medicare Enrollment ID | O20221012000466 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104565407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Alina Contino |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295911543 PECOS PAC ID: 7012266372 Enrollment ID: I20180820001735 |
| Provider Name | William Henry Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699385963 PECOS PAC ID: 3375085186 Enrollment ID: I20240607003180 |
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