| Lotus Therapeutic & Empowerment Services | |
|
502 Church St Moosic PA 18507-1602 | |
| (570) 878-7757 | |
| Not Available |
| Full Name | Lotus Therapeutic & Empowerment Services |
|---|---|
| Speciality | Clinic/center |
| Location | 502 Church St, Moosic, Pennsylvania |
| Authorized Official Name and Position | Jean Marie Decker (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5708787757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Therapeutic & Empowerment Services 502 Church St Moosic PA 18507-1602 Ph: (570) 878-7757 | Lotus Therapeutic & Empowerment Services 502 Church St Moosic PA 18507-1602 Ph: (570) 878-7757 |
| NPI Number | 1053964007 |
|---|---|
| Provider Enumeration Date | 07/18/2019 |
| Last Update Date | 07/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053964007 | NPI | - | NPPES |
| 1030643090001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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