Lotus Healing | |
133 Wadsworth St Providence RI 02907-2822 | |
(401) 400-4555 | |
(401) 400-4544 |
Full Name | Lotus Healing |
---|---|
Speciality | Social Worker |
Location | 133 Wadsworth St, Providence, Rhode Island |
Authorized Official Name and Position | Sahony Natasha Ramos (CLINICAL DIRECTOR) |
Authorized Official Contact | 4014004555 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lotus Healing 133 Wadsworth St Providence RI 02907-2822 Ph: (401) 400-4555 | Lotus Healing 133 Wadsworth St Providence RI 02907-2822 Ph: (401) 400-4555 |
NPI Number | 1164167466 |
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Provider Enumeration Date | 05/02/2022 |
Last Update Date | 08/09/2022 |
Certification Date | 08/09/2022 |
Medicare PECOS PAC ID | 9830575646 |
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Medicare Enrollment ID | O20221003000502 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164167466 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Sahony N Ramos |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891342226 PECOS PAC ID: 8527498286 Enrollment ID: I20200420002615 |
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