| Lotus Seed Therapies | |
|
121 Ne A St Ste A Grants Pass OR 97526-2111 | |
| (541) 415-0436 | |
| (541) 507-9123 |
| Full Name | Lotus Seed Therapies |
|---|---|
| Speciality | Counselor |
| Location | 121 Ne A St Ste A, Grants Pass, Oregon |
| Authorized Official Name and Position | Tressi Innana Albee (PRACTITIONER/OWNER) |
| Authorized Official Contact | 5414151052 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Seed Therapies Po Box 445 Williams OR 97544-0445 Ph: (541) 415-0436 | Lotus Seed Therapies 121 Ne A St Ste A Grants Pass OR 97526-2111 Ph: (541) 415-0436 |
| NPI Number | 1396504098 |
|---|---|
| Provider Enumeration Date | 03/15/2024 |
| Last Update Date | 10/08/2024 |
| Certification Date | 10/08/2024 |
| Medicare PECOS PAC ID | 8224562087 |
|---|---|
| Medicare Enrollment ID | O20241115001908 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396504098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Tressi Innana Albee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972920668 PECOS PAC ID: 9133653991 Enrollment ID: I20241219001515 |
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