Provider Demographics
NPI:1285980326
Name:RACE, DORIAN ELIZABETH (MS, LMHC)
Entity type:Individual
Prefix:DR
First Name:DORIAN
Middle Name:ELIZABETH
Last Name:RACE
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:DR
Other - First Name:DORIAN
Other - Middle Name:ELIZABETH
Other - Last Name:CARON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1555 LAKE BALDWIN LN STE B
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32814-6696
Mailing Address - Country:US
Mailing Address - Phone:407-616-5948
Mailing Address - Fax:
Practice Address - Street 1:1555 LAKE BALDWIN LN STE B
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32814-6696
Practice Address - Country:US
Practice Address - Phone:407-616-5948
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-26
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH16502101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health