Thriving Lotus Family Therapy Group, Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

THRIVING LOTUS FAMILY THERAPY GROUP, INC

Practice address

27955 Smyth Dr Ste 109
Valencia, CA 91355-4045

Phone

(661) 673-3782

Fax

(661) 383-0138

NPI assigned

Nov 25, 2020

Last updated

Nov 25, 2020By 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

Leisha Borja, LMFTNPI 1780958611

Title

Owner

Phone

(661) 673-3782

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leisha Borja, LMFT

  • Marriage & Family Therapist
  • Valencia, CA
  • NPI 1780958611
  NPD Authorized official
• Bryelle Colleen Dallons

  • Marriage & Family Therapist
  • Valencia, CA
  • NPI 1083263578
  NPD (past)

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606262400000",
    "number": "1255935615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25146 MARKEL DR",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212351",
            "telephone_number": "661-877-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27955 SMYTH DR STE 109",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554045",
            "telephone_number": "661-673-3782",
            "fax_number": "661-383-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVING LOTUS FAMILY THERAPY GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A",
        "authorized_official_last_name": "BORJA",
        "authorized_official_first_name": "LEISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-673-3782",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Olivia Tiano, OTR/L
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• Mental Health Clinic/Center (Including Community Mental Health Center) in Valencia, CA
• Providers in Valencia, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.