| NPI | 1861051708 |
|---|---|
| Other Name | BLUE LOTUS THERAPY SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | MARY BETH HOUPT Credentialing 517-676-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2023-12-19 |