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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLACK LOTUS THERAPY

Active Organization

BLACK LOTUS THERAPY is a Mental Health Counselor organization located in MEDFORD, Oregon. NPI 1720696289 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · MEDFORD, OR

Registration Details

NPI Number
1720696289
Provider Type
Organization
NPI Issued
Jul 21, 2020 (6.1126089921282 yrs)
Last Updated
Mar 4, 2021

Practice Information

Address
10 CRATER LAKE AVE STE 25
MEDFORD, OR, 975047445
Browse OR providers · Browse ZIP 97504
Phone
5415008655
Fax
8004331396
Primary Specialty
Mental Health Counselor
101YM0800X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.