Healthcare Provider Details

I. General information

NPI: 1033231527
Provider Name (Legal Business Name): LOTUS GROUP, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11950 FISHERS CROSSING DR
FISHERS IN
46038-2702
US

IV. Provider business mailing address

11950 FISHERS CROSSING DR
FISHERS IN
46038-2702
US

V. Phone/Fax

Practice location:
  • Phone: 317-595-5555
  • Fax: 317-595-5554
Mailing address:
  • Phone: 317-595-5555
  • Fax: 317-595-5554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: PATRICK JAMES HALL
Title or Position: PRESIDENT
Credential: LMFT
Phone: 317-595-5555