Organization
LOTUS EMBODIED COUNSELING,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARNISE NICOLE HENDRICK LCPC (OWNER AND PSYCHOTHERAPIST)
(240) 463-0045
Entity
Organization
Contact information
Practice address
10450 SHAKER DR STE 109, COLUMBIA, MD 21046-1136
(240) 463-0045
Mailing address
10450 SHAKER DR STE 109, COLUMBIA, MD 21046-1136
(240) 756-6516
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407335938
PERSONAL NPI
MD
Enumeration date
02/11/2021
Last updated
08/11/2021
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