| Lotus Therapy Inc. | |
|
210 S 5th St Ste 12 Saint Charles IL 60174-2700 | |
| (630) 886-2638 | |
| Not Available |
| Full Name | Lotus Therapy Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 210 S 5th St Ste 12, Saint Charles, Illinois |
| Authorized Official Name and Position | Rehna Suzanne Becker (PRESIDENT) |
| Authorized Official Contact | 6304148647 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Therapy Inc. 116 Lewis Ln Wheaton IL 60189-7420 Ph: (630) 886-2638 | Lotus Therapy Inc. 210 S 5th St Ste 12 Saint Charles IL 60174-2700 Ph: (630) 886-2638 |
| NPI Number | 1083218309 |
|---|---|
| Provider Enumeration Date | 11/27/2020 |
| Last Update Date | 03/12/2022 |
| Certification Date | 03/12/2022 |
| Medicare PECOS PAC ID | 9638568231 |
|---|---|
| Medicare Enrollment ID | O20211122000915 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083218309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rehna Becker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730538810 PECOS PAC ID: 9436580701 Enrollment ID: I20200521000500 |
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