| NPI | 1235412925 |
|---|---|
| Doing Business As | LOTUS PSYCHOLOGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | ALESSANA BRYCZKOWSKI Director 305-915-5748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY8229) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH10859) |
| 103TC0700X Psychologist, Clinical (Licence: FL PY8240) | |
| 103TC0700X Psychologist, Clinical (Licence: FL PY7937) | |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2011-09-20 |