Healthcare Provider Details

I. General information

NPI: 1467234906
Provider Name (Legal Business Name): SACRED LOTUS JOURNEY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2023
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 UNION ST STE 553
NASHVILLE TN
37219-1885
US

IV. Provider business mailing address

501 UNION ST STE 553
NASHVILLE TN
37219-1885
US

V. Phone/Fax

Practice location:
  • Phone: 615-499-6137
  • Fax:
Mailing address:
  • Phone: 615-499-6137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. DENISSA D. ROGERS- GILES
Title or Position: OWNER & LICENSED HOLISTIC THERAPIST
Credential: LPC-MHSP
Phone: 615-499-6137