Blue Lotus Healing Center, LLC
NPI #1922206416 in Clayton, North Carolina
Provider Information
- NPI Number
- 1922206416
- Entity Type
- Organization
- Organization Name
- Blue Lotus Healing Center, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jul 5, 2007
- Last Updated
- Apr 2, 2015
Practice Location
- Address
- 8838 US HIGHWAY 70 W
- Address 2
- SUITE 200C
- City
- Clayton
- State
- North Carolina
- ZIP Code
- 27520-4822
- Phone
- (919) 946-8644
Authorized Official
- Name
- NIVIEN IBRAHIM, LCSW
- Title
- OWNER
- Phone
- (919) 946-8644
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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