| Lotus Counseling Services, Llc | |
|
2006 Blaine St Caldwell ID 83605-4343 | |
| (208) 454-3430 | |
| (888) 972-1962 |
| Full Name | Lotus Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2006 Blaine St, Caldwell, Idaho |
| Authorized Official Name and Position | Sara L Helmer (PROVIDER) |
| Authorized Official Contact | 2084543430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Counseling Services, Llc 2006 Blaine St Caldwell ID 83605-4343 Ph: (208) 454-3430 | Lotus Counseling Services, Llc 2006 Blaine St Caldwell ID 83605-4343 Ph: (208) 454-3430 |
| NPI Number | 1710427513 |
|---|---|
| Provider Enumeration Date | 02/28/2017 |
| Last Update Date | 11/26/2021 |
| Certification Date | 11/26/2021 |
| Medicare PECOS PAC ID | 5395020101 |
|---|---|
| Medicare Enrollment ID | O20170317000846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710427513 | NPI | - | NPPES |
| 1417398140 | Other | ID | TYPE I NPI |
| 126556547 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 35506 (Idaho) | Primary |
| Provider Name | Sara L Helmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417398140 PECOS PAC ID: 5294952743 Enrollment ID: I20140807000978 |
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