=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154130722
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LORCA PSYCHIATRY AND WELLNESS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/07/2025
-----------------------------------------------------
Last Update Date | 11/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1030 N LINCOLN ST # 1905
-----------------------------------------------------
City | GREENSBURG
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 47240-3211
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-620-5020
-----------------------------------------------------
Fax | 317-647-4265
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1030 N LINCOLN ST # 1905
-----------------------------------------------------
City | GREENSBURG
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 47240-3211
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-620-5020
-----------------------------------------------------
Fax | 317-647-4265
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FOUNDER, PMHNP
-----------------------------------------------------
Name | HAYLEI LORCA
-----------------------------------------------------
Credential | DNP, APRN, PMHNP-BC
-----------------------------------------------------
Telephone | 317-620-5020
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------