Active NPI
Golden Lotus Mental Health & Wellness, PLLC
- Clinical Social Worker
- Fayetteville, NC
National Provider Identifier
1801706403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- GOLDEN LOTUS MENTAL HEALTH & WELLNESS, PLLC
- Practice address
- 505 Deerpath Dr
Fayetteville, NC 28311-1231 - Phone
- (919) 649-6847
- NPI assigned
- Sep 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kiana Jene Myles, LCSW
- Title
- Owner
- Phone
- (919) 649-6847
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
505 Deerpath Dr
Fayetteville, NC 28311-1231
Mailing address
505 Deerpath Dr
Fayetteville, NC 28311-1231
Phone (919) 649-6847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788825600000",
"number": "1801706403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 DEERPATH DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283111231",
"telephone_number": "919-649-6847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 DEERPATH DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283111231",
"telephone_number": "919-649-6847"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN LOTUS MENTAL HEALTH & WELLNESS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-08",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A",
"authorized_official_last_name": "MYLES",
"authorized_official_first_name": "KIANA",
"authorized_official_middle_name": "JENE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-649-6847",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.