| Lotus Life Therapy, Llc | |
|
5304 Cedar Dr Cambridge MD 21613-4404 | |
| (240) 475-0338 | |
| Not Available |
| Full Name | Lotus Life Therapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5304 Cedar Dr, Cambridge, Maryland |
| Authorized Official Name and Position | Samantha Kurtz (OWNER) |
| Authorized Official Contact | 2404750338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Life Therapy, Llc 11724 Buckingham Dr Delmar DE 19940-3583 Ph: (240) 475-0338 | Lotus Life Therapy, Llc 5304 Cedar Dr Cambridge MD 21613-4404 Ph: (240) 475-0338 |
| NPI Number | 1912789017 |
|---|---|
| Provider Enumeration Date | 10/16/2023 |
| Last Update Date | 10/16/2023 |
| Certification Date | 10/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912789017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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