MEDICARE: LOTUS MIND THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1336842996
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOTUS MIND THERAPY LLC

Provider Business Mailing Address
First Line	:	8524 S WESTERN AVE STE 115
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73139-9248
Country	:	US
Telephone Number	:	405-450-7815
Fax Number	:	405-669-3120

Provider Business Practice Location Address
First Line	:	8524 S WESTERN AVE STE 107
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73139-9247
Country	:	US
Telephone Number	:	405-450-7815
Fax Number	:	405-294-1166

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. KRISTIN HOLLAND-PITTS
Credential	:	MS, LPC-S
Telephone Number	:	405-669-1989

Provider Enumeration Date	:	03/23/2023
Last Update Date	:	02/19/2026

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Directions to “LOTUS MIND THERAPY LLC ” Practice Location

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