Healthcare Provider Details

I. General information

NPI: 1851212310
Provider Name (Legal Business Name): LOTUS RECOVERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4451 BARNOR DR
INDIANAPOLIS IN
46226
US

IV. Provider business mailing address

11807 ALLISONVILLE RD UNIT 1116
FISHERS IN
46038-2313
US

V. Phone/Fax

Practice location:
  • Phone: 317-263-4621
  • Fax:
Mailing address:
  • Phone: 317-263-4621
  • 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: ASHLEY D MILLIKEN
Title or Position: FOUNDER/OWNER
Credential: CPSP
Phone: 317-263-4621