Black Lotus Therapy

LBN: Black Lotus Therapy
Black Lotus Therapy is an health care organization with primary practice located at 10 Crater Lake Ave Ste 25 , Medford OR 97504-7445. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Black Lotus Therapy can be contacted via phone (541) 500-8655, or through Victor, Tristin via phone (541) 500-8655.

Contact Information

Primary practice address
10 Crater Lake Ave Ste 25 Medford OR 97504-7445
Phone: (541) 500-8655
Fax: (800) 433-1396
Website:
Map and Directions
Authorized official contact:
Name: Victor, Tristin CSWA
Phone: (541) 500-8655

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1720696289
LBN Legal business name Black Lotus Therapy
DBA Doing business as
Authorized official Victor, Tristin CSWA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2020
Last updated Mar 4th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers