Organization Active NPI

Latoya Nelson Enterprises, LLC

Doing business as Lotus Wellness Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Raleigh, NC
National Provider Identifier
1942769625
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LATOYA NELSON ENTERPRISES, LLC
Doing business as
Lotus Wellness Center
Practice address
211 E Six Forks Rd Ste 204
Raleigh, NC 27609-7753
Phone
(919) 410-6707
Fax
(919) 800-3399
NPI assigned
Mar 13, 2019
Last updated
Mar 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Authorized official

Name
Latoya Nelson
Title
Owner
Phone
(919) 805-6688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

211 E Six Forks Rd Ste 204
Raleigh, NC 27609-7753

Mailing address

5439 Tralee PL
Raleigh, NC 27609-4437
Phone (919) 805-6688

Other names 1

  • Lotus Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

211 E Six Forks Rd
Ste 204
Raleigh, NC 27609
Phone (919) 410-6707

NPI Registry JSON

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1942769625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5439 TRALEE PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094437",
            "telephone_number": "919-805-6688",
            "fax_number": "919-800-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E SIX FORKS RD STE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097753",
            "telephone_number": "919-410-6707",
            "fax_number": "919-800-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATOYA NELSON ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-805-6688"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lotus Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.