Provider Demographics
NPI:1154130722
Name:LORCA PSYCHIATRY AND WELLNESS LLC
Entity type:Organization
Organization Name:LORCA PSYCHIATRY AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:HAYLEI
Authorized Official - Middle Name:
Authorized Official - Last Name:LORCA
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN, PMHNP-BC
Authorized Official - Phone:317-430-6209
Mailing Address - Street 1:725 S MOSSBERG CT
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47240-6430
Mailing Address - Country:US
Mailing Address - Phone:317-430-6209
Mailing Address - Fax:
Practice Address - Street 1:725 S MOSSBERG CT
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:IN
Practice Address - Zip Code:47240-6430
Practice Address - Country:US
Practice Address - Phone:317-430-6209
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty