Provider Demographics
NPI:1417834649
Name:LOTUS BEHAVIORAL HEALTH AND REHABILITATION SERVICES INC.
Entity type:Organization
Organization Name:LOTUS BEHAVIORAL HEALTH AND REHABILITATION SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NEFERTITI
Authorized Official - Middle Name:
Authorized Official - Last Name:AMENRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-779-7749
Mailing Address - Street 1:8 MARKET PL STE 300
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-4113
Mailing Address - Country:US
Mailing Address - Phone:215-298-3770
Mailing Address - Fax:
Practice Address - Street 1:8 MARKET PL STE 300
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-4113
Practice Address - Country:US
Practice Address - Phone:215-298-3770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOTUS BEHAVIORAL HEALTH AND REHABILITATION SERVICES INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health