Healthcare Provider Details

I. General information

NPI: 1487501078
Provider Name (Legal Business Name): LOTUS BEHAVIORAL HEALTH AND REHABILITATION SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 MARKET PL STE 300
BALTIMORE MD
21202-4113
US

IV. Provider business mailing address

8 MARKET PL STE 300
BALTIMORE MD
21202-4113
US

V. Phone/Fax

Practice location:
  • Phone: 215-298-3770
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NEFERTITI AMENRA
Title or Position: OWNER
Credential:
Phone: 619-779-7749