Provider Demographics
NPI:1699329938
Name:GROCE, STEPHEN (LMHC)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:GROCE
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1575 DR MARTIN LUTHER KING JR ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-2295
Mailing Address - Country:US
Mailing Address - Phone:317-644-7243
Mailing Address - Fax:
Practice Address - Street 1:2240 N MERIDIAN ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46208-5728
Practice Address - Country:US
Practice Address - Phone:317-634-6341
Practice Address - Fax:317-644-7243
Is Sole Proprietor?:No
Enumeration Date:2019-07-25
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39003904A101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health