| Lotus Psychotherapy Pllc | |
|
6 Thorndal Cir Darien CT 06820-5415 | |
| (203) 559-1602 | |
| Not Available |
| Full Name | Lotus Psychotherapy Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6 Thorndal Cir, Darien, Connecticut |
| Authorized Official Name and Position | Jennifer Kucharski Baumgold (OWNER) |
| Authorized Official Contact | 2035591602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Psychotherapy Pllc 6 Thorndal Cir Darien CT 06820-5415 Ph: () - | Lotus Psychotherapy Pllc 6 Thorndal Cir Darien CT 06820-5415 Ph: (203) 559-1602 |
| NPI Number | 1609388818 |
|---|---|
| Provider Enumeration Date | 10/27/2017 |
| Last Update Date | 10/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609388818 | NPI | - | NPPES |
| 008054797 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 006974 (Connecticut) | Primary |
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