Provider Demographics
NPI:1689474074
Name:DORSCH, GRACEN NICOLE (LMHC, ATR-BC)
Entity type:Individual
Prefix:
First Name:GRACEN
Middle Name:NICOLE
Last Name:DORSCH
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Gender:
Credentials:LMHC, ATR-BC
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Mailing Address - Street 1:8470 ALLISON POINTE BLVD STE 130
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-4368
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8470 ALLISON POINTE BLVD STE 130
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-4368
Practice Address - Country:US
Practice Address - Phone:844-588-0021
Practice Address - Fax:463-242-5558
Is Sole Proprietor?:No
Enumeration Date:2025-03-15
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health