Blue Lotus Counseling, Pllc

NPI #1235513045 in Park Hill, Oklahoma

Provider Information

NPI Number
1235513045
Entity Type
Organization
Organization Name
Blue Lotus Counseling, Pllc
Primary Specialty
Social Worker - Clinical
Enumeration Date
Jul 13, 2015
Last Updated
Jul 29, 2015

Practice Location

Address
19216 W PETTIT BAY RD
ZIP Code
74451-3010
Phone
(918) 458-7046

Authorized Official

Name
MRS. DAWN MARIE BALLEW, MSW, LCSW
Title
OWNER
Phone
(918) 458-7046

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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