Lotus Holistic Mental Health Services, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LOTUS HOLISTIC MENTAL HEALTH SERVICES, PLLC

Practice address

2200 Hunt St Ste 545
Detroit, MI 48207-5605

Phone

(248) 469-8479

NPI assigned

May 27, 2024

Last updated

May 27, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Majida V. Kinnard, LMSWNPI 1962790139

Title

Owner/Director

Phone

(248) 469-8479

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Majida V Kinnard, LMSW

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1962790139
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716768000000",
    "number": "1134969439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 KEELSON DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482153075",
            "telephone_number": "248-469-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 HUNT ST STE 545",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482075605",
            "telephone_number": "248-469-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS HOLISTIC MENTAL HEALTH SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-26",
        "status": "A",
        "authorized_official_last_name": "KINNARD",
        "authorized_official_first_name": "MAJIDA",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "248-469-8479",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.