Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blue Lotus Healing Center, LLC

Organization Clinical Social Worker · NPI 1922206416

Blue Lotus Healing Center, LLC is a Clinical Social Worker in Clayton, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8838 US Highway 70 W Ste 200C
Clayton, NC 27520-4822
Phone: (919) 946-8644
Fax: (919) 550-2913
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C004122 (NC)

Record details

NPI number1922206416
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nivien Ibrahim — Owner · (919) 946-8644
NPI enumeratedJuly 5, 2007
Last updated in NPPESApril 2, 2015
Mailing addressPo Box 1831, Clayton, NC 27528-1831

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