| Lotus Counseling Services Llc | |
|
101 White St West Haven CT 06516 | |
| (203) 494-3072 | |
| Not Available |
| Full Name | Lotus Counseling Services Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 101 White St, West Haven, Connecticut |
| Authorized Official Name and Position | Jamie Marie Bonanuto (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2034943072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Counseling Services Llc 101 White Street West Haven CT 06516 Ph: (203) 494-3072 | Lotus Counseling Services Llc 101 White St West Haven CT 06516 Ph: (203) 494-3072 |
| NPI Number | 1184133597 |
|---|---|
| Provider Enumeration Date | 09/28/2017 |
| Last Update Date | 09/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184133597 | NPI | - | NPPES |
| 000070595 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 001875 (Connecticut) | Primary |
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