Healthcare Provider Details

I. General information

NPI: 1669076378
Provider Name (Legal Business Name): LOTUS PSYCHOTHERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2020
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

588 BELLERIVE RD STE 1D
ANNAPOLIS MD
21409-4639
US

IV. Provider business mailing address

588 BELLERIVE RD STE 1D
ANNAPOLIS MD
21409-4639
US

V. Phone/Fax

Practice location:
  • Phone: 410-713-5277
  • Fax:
Mailing address:
  • Phone: 410-713-5277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ALLISON SCARINZI
Title or Position: OWNER
Credential: LCSW-C
Phone: 410-713-5277