Healthcare Provider Details

I. General information

NPI: 1679272579
Provider Name (Legal Business Name): LOTUS PSYCHOTHERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2023
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

147 OLD SOLOMONS ISLAND RD STE 501-505
ANNAPOLIS MD
21401-0903
US

IV. Provider business mailing address

147 OLD SOLOMONS ISLAND RD STE 501-505
ANNAPOLIS MD
21401-0903
US

V. Phone/Fax

Practice location:
  • Phone: 443-949-5322
  • Fax: 667-400-4239
Mailing address:
  • Phone: 443-949-5322
  • Fax: 667-400-4239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. ALLISON SCARINZI
Title or Position: OWNER
Credential: LCSWC
Phone: 410-713-5277