| Lotus Integrative Therapy, Licensed Clinical Social Worker, A Professi | |
|
605 B St Rm 4 San Rafael CA 94901-3805 | |
| (510) 457-1817 | |
| Not Available |
| Full Name | Lotus Integrative Therapy, Licensed Clinical Social Worker, A Professi |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 605 B St Rm 4, San Rafael, California |
| Authorized Official Name and Position | Tiffani K Parrish (CEO) |
| Authorized Official Contact | 7202020394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Integrative Therapy, Licensed Clinical Social Worker, A Professi 605 B St Rm 4 San Rafael CA 94901-3805 Ph: (510) 457-1817 | Lotus Integrative Therapy, Licensed Clinical Social Worker, A Professi 605 B St Rm 4 San Rafael CA 94901-3805 Ph: (510) 457-1817 |
| NPI Number | 1619847696 |
|---|---|
| Provider Enumeration Date | 11/06/2025 |
| Last Update Date | 11/06/2025 |
| Certification Date | 11/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619847696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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