Provider Demographics
NPI:1881582302
Name:LOTUS COUNSELING CENTER
Entity type:Organization
Organization Name:LOTUS COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWBDER
Authorized Official - Prefix:
Authorized Official - First Name:DANELY
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C; LBC
Authorized Official - Phone:301-906-1044
Mailing Address - Street 1:6002 FALLFISH CT
Mailing Address - Street 2:
Mailing Address - City:NEW MARKET
Mailing Address - State:MD
Mailing Address - Zip Code:21774-6880
Mailing Address - Country:US
Mailing Address - Phone:301-906-1044
Mailing Address - Fax:
Practice Address - Street 1:6002 FALLFISH CT
Practice Address - Street 2:
Practice Address - City:NEW MARKET
Practice Address - State:MD
Practice Address - Zip Code:21774-6880
Practice Address - Country:US
Practice Address - Phone:301-906-1044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty