| Organization Name: | BLUE LOTUS COUNSELING, PLLC |
| NPI Number: | 1235513045 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAWN MARIE BALLEW (OWNER) |
| Mailing Address: | 19216 W Pettit Bay Rd Park Hill |
| State: | OK US |
| Postal Code: | 744513010 |
| Phone Number: | 9184587046 |
| Fax Number: | |
| NPI Enumeration Date: | 07/13/2015 |
| NPI Last Update Date: | 07/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 4951 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |