| Organization Name: | LOTUS BLOSSOM PSYCHOTHERAPY, LLC. |
| NPI Number: | 1578910766 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GERALDINE M VIGGIANI (OWNER/PARTNER) |
| Mailing Address: | 5 Ponderosa Dr Colts Neck |
| State: | NJ US |
| Postal Code: | 077222219 |
| Phone Number: | 7326166162 |
| Fax Number: | |
| NPI Enumeration Date: | 05/18/2016 |
| NPI Last Update Date: | 05/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 44SC05666300 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |