| Thriving Lotus Family Therapy Group, Inc | |
|
27955 Smyth Dr Ste 109 Valencia CA 91355-4045 | |
| (661) 673-3782 | |
| (661) 383-0138 |
| Full Name | Thriving Lotus Family Therapy Group, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 27955 Smyth Dr Ste 109, Valencia, California |
| Authorized Official Name and Position | Leisha Borja (OWNER) |
| Authorized Official Contact | 6616733782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thriving Lotus Family Therapy Group, Inc 25146 Markel Dr Newhall CA 91321-2351 Ph: (661) 877-2737 | Thriving Lotus Family Therapy Group, Inc 27955 Smyth Dr Ste 109 Valencia CA 91355-4045 Ph: (661) 673-3782 |
| NPI Number | 1255935615 |
|---|---|
| Provider Enumeration Date | 11/25/2020 |
| Last Update Date | 11/25/2020 |
| Certification Date | 11/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255935615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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