Active NPIOrganization

Lotus Blossom Psychotherapy, LLC.

Social Worker, Clinical in Colts Neck, New Jersey

NPI Number1578910766
Practice location
5 Ponderosa Dr, Colts Neck, NJ 07722-2219
Fax
—
Last updated
May 18, 2016

Lotus Blossom Psychotherapy, LLC. is a healthcare organization based in Colts Neck, NJ. Lotus Blossom Psychotherapy, LLC. practices in Colts Neck, NJ. The NPI Number for Lotus Blossom Psychotherapy, LLC. is 1578910766 and holds a License No. 44SC05666300 (NJ). The current practice location address for Lotus Blossom Psychotherapy, LLC. is 5 Ponderosa Dr, Colts Neck, NJ 07722-2219 and can be reached out via phone at 732-616-6162.

Provider Profile Details

NPI Number
1578910766
Provider Name
Lotus Blossom Psychotherapy, LLC.
Provider Entity Type
Organization
Address
5 Ponderosa Dr, Colts Neck, NJ 07722-2219
Phone Number
732-616-6162
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
No
Authorized Official
Mrs. Geraldine M Viggiani, LCSW · Owner/Partner · 732-616-6162
Provider Enumeration Date
May 18, 2016
Last Update Date
May 18, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Ponderosa Dr
Colts Neck, NJ 07722-2219
Zip
07722-2219
Phone Number
732-616-6162
Colts Neck, NJ 07722Get directions →

Provider Business Mailing Address Details

Address
27 State Route 35
Eatontown, NJ 07724
City
Eatontown
State
NJ
Zip
07724

License Information

License Number (1)
44SC05666300
License State (1)
NJ
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
44SC05655100
License State (2)
NJ
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lotus Blossom Psychotherapy, LLC.?

The NPI number of Lotus Blossom Psychotherapy, LLC. is 1578910766. It was assigned on May 18, 2016 and is currently active in the NPPES registry.

What is the specialty of Lotus Blossom Psychotherapy, LLC.?

Lotus Blossom Psychotherapy, LLC. is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05666300.

Where does Lotus Blossom Psychotherapy, LLC. practice?

The practice location is 5 Ponderosa Dr, Colts Neck, NJ 07722-2219. The office can be reached at 732-616-6162 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578910766 directly on the NPPES registry website.

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