Healthcare Provider Details

I. General information

NPI: 1447867460
Provider Name (Legal Business Name): LOTUS HEALING CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2020
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 SPRING VILLAS PT STE 3000
WINTER SPRINGS FL
32708-5242
US

IV. Provider business mailing address

1030 SPRING VILLAS PT STE 3000
WINTER SPRINGS FL
32708-5242
US

V. Phone/Fax

Practice location:
  • Phone: 833-995-6887
  • Fax:
Mailing address:
  • Phone: 407-341-3119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: ROLAND SAMAROO
Title or Position: CFO
Credential:
Phone: 407-341-3119