Lotus House Clinical Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

3750-3751 Issued in TX

Legal business name

LOTUS HOUSE CLINICAL SERVICES, LLC

Doing business as

Brookswood Clinical Services

Practice address

714 Clay St
Kerrville, TX 78028-3321

Phone

(830) 792-4673

Fax

(830) 792-5673

NPI assigned

Jul 9, 2014

Last updated

Dec 2, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Edward Gene Mathews

Title

Director of Operations

Phone

(830) 459-6321

Specialties & licenses 1

Addresses

Other names 1

• Brookswood Clinical Services Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1023424116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 CLAY ST",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780283321",
            "telephone_number": "830-792-4673",
            "fax_number": "830-792-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 CLAY ST",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780283321",
            "telephone_number": "830-792-4673",
            "fax_number": "830-792-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS HOUSE CLINICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "830-459-6321",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "3750-3751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookswood Clinical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeannette C Long, APNP
• Nicole Longoria, COTA
• Timothy Jan Looney, MD
• Jessica Lopez, RN, MSN
• Lori I Gagnon MD PA
• Lotus House, LLC (The Blue Lotus House)
• Lotus Managed Care Corporation (Lotus Managed Care Services)
• Lotus Peer Recovery LLC
• Christopher Loup, LPC
• Patrick Reidy Lower

• Community/Behavioral Health Agency in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.