| The Lotus Collaborative, Inc., A Psychology Clinic | |
|
611 Mission St Santa Cruz CA 95060-3612 | |
| (831) 600-7103 | |
| Not Available |
| Full Name | The Lotus Collaborative, Inc., A Psychology Clinic |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 611 Mission St, Santa Cruz, California |
| Authorized Official Name and Position | Elizabeth Porter (DIRECTOR OF BUSINESS DEVELOPMENT) |
| Authorized Official Contact | 8315880497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Lotus Collaborative, Inc., A Psychology Clinic 611 Mission St Santa Cruz CA 95060-3612 Ph: (831) 600-7103 | The Lotus Collaborative, Inc., A Psychology Clinic 611 Mission St Santa Cruz CA 95060-3612 Ph: (831) 600-7103 |
| NPI Number | 1235770181 |
|---|---|
| Provider Enumeration Date | 10/02/2019 |
| Last Update Date | 02/01/2021 |
| Certification Date | 02/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235770181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Secondary |
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