Provider Demographics
NPI:1043939614
Name:LOTUS COUNSELING LLC
Entity type:Organization
Organization Name:LOTUS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AUDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:443-771-7265
Mailing Address - Street 1:PO BOX 1554
Mailing Address - Street 2:90 HOLIDAY DRIVE, SUITE A
Mailing Address - City:SOLOMONS
Mailing Address - State:MD
Mailing Address - Zip Code:20688-1554
Mailing Address - Country:US
Mailing Address - Phone:443-771-7265
Mailing Address - Fax:804-203-1671
Practice Address - Street 1:90 HOLIDAY DRIVE
Practice Address - Street 2:SUITE A - 1554
Practice Address - City:SOLOMONS
Practice Address - State:MD
Practice Address - Zip Code:20688-1554
Practice Address - Country:US
Practice Address - Phone:443-771-7265
Practice Address - Fax:804-203-1671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-25
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty