| Lotus Psychotherapy, Llc | |
|
600 S Santa Fe Ave Ste C Salina KS 67401-4171 | |
| (316) 288-8009 | |
| Not Available |
| Full Name | Lotus Psychotherapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 600 S Santa Fe Ave Ste C, Salina, Kansas |
| Authorized Official Name and Position | Katie R Herwig (OWNER) |
| Authorized Official Contact | 3162888009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Psychotherapy, Llc 600 S Santa Fe Ave Ste C Salina KS 67401-4171 Ph: (316) 288-8009 | Lotus Psychotherapy, Llc 600 S Santa Fe Ave Ste C Salina KS 67401-4171 Ph: (316) 288-8009 |
| NPI Number | 1144988916 |
|---|---|
| Provider Enumeration Date | 11/29/2021 |
| Last Update Date | 11/29/2021 |
| Certification Date | 11/29/2021 |
| Medicare PECOS PAC ID | 2062803950 |
|---|---|
| Medicare Enrollment ID | O20220104001444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144988916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Katie R Herwig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336496546 PECOS PAC ID: 2062732886 Enrollment ID: I20150519001857 |
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