Provider Demographics
NPI:1851125041
Name:RED LOTUS COUNSELING INC
Entity type:Organization
Organization Name:RED LOTUS COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HR OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:COBY
Authorized Official - Middle Name:
Authorized Official - Last Name:OVERBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-415-0483
Mailing Address - Street 1:82 CAMINO DE LA BUENA VIS
Mailing Address - Street 2:
Mailing Address - City:PLACITAS
Mailing Address - State:NM
Mailing Address - Zip Code:87043-8816
Mailing Address - Country:US
Mailing Address - Phone:505-415-0483
Mailing Address - Fax:
Practice Address - Street 1:82 CAMINO DE LA BUENA VIS
Practice Address - Street 2:
Practice Address - City:PLACITAS
Practice Address - State:NM
Practice Address - Zip Code:87043-8816
Practice Address - Country:US
Practice Address - Phone:505-415-0483
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health