# LOTUS HOLISTIC THERAPY CENTER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578148011
- **Authorized official:** MISS TIA DAMALI WHEELER LCSW (OWNER)
- **Authorized official phone:** (980) 202-1306

## Contact information

- **Practice address:** 801 EAST MOREHEAD STREET SUITE 105, \#3138, CHARLOTTE, NC 28202
- **Practice address phone:** (980) 202-1306
- **Mailing address:** 801 EAST MOREHEAD STREET SUITE 105, \#3138, CHARLOTTE, NC 28202
- **Mailing address phone:** (980) 202-1306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 03/16/2021
- **Last updated:** 03/16/2021