| The Lotus Collaborative, Inc., A Psychology Clinic | |
|
2125 Delaware Ave Ste A Santa Cruz CA 95060-5752 | |
| (831) 588-0497 | |
| (831) 600-7499 |
| Full Name | The Lotus Collaborative, Inc., A Psychology Clinic |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2125 Delaware Ave Ste A, Santa Cruz, California |
| Authorized Official Name and Position | Elizabeth Esalen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8316007103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Lotus Collaborative, Inc., A Psychology Clinic 2125 Delaware Ave Ste A Santa Cruz CA 95060-5752 Ph: (831) 588-0497 | The Lotus Collaborative, Inc., A Psychology Clinic 2125 Delaware Ave Ste A Santa Cruz CA 95060-5752 Ph: (831) 588-0497 |
| NPI Number | 1407120579 |
|---|---|
| Provider Enumeration Date | 03/06/2012 |
| Last Update Date | 06/07/2023 |
| Certification Date | 06/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407120579 | NPI | - | NPPES |
| 1225329253 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY24204 (California) | Primary |
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