Blossoming Lotus Therapy Lcsw Pllc
NPI #1720754245 in Lindenhurst, New York
Provider Information
- NPI Number
- 1720754245
- Entity Type
- Organization
- Organization Name
- Blossoming Lotus Therapy Lcsw Pllc
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Aug 17, 2021
- Last Updated
- Mar 28, 2023
Practice Location
- Address
- 145 SUNRISE HWY STE 7
- City
- Lindenhurst
- State
- New York
- ZIP Code
- 11757-2500
- Phone
- (516) 254-9201
Authorized Official
- Name
- MRS. JESSICA M HARDIAL, MA, LCSW, PHD(C)
- Title
- CEO
- Phone
- (516) 254-9201
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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