Organization
LOTUS WISDOM COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY NICHOLE BODWELL LCMHC (OWNER/THERAPIST)
(336) 892-9061
Entity
Organization
Contact information
Practice address
138 S CHERRY ST STE 400, WINSTON SALEM, NC 27101-5271
(336) 892-9061
(336) 899-0170
Mailing address
138 S CHERRY ST STE 400, WINSTON SALEM, NC 27101-5271
(336) 892-9061
(336) 899-0170
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
11/09/2020
Last updated
06/04/2021
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