Shank, Stephanie

Shank, Stephanie is an individual health care provider with primary practice located at 13295 Illinois St Suite 132, Carmel IN 46032-3019. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Shank, Stephanie can be contacted via phone (317) 440-4176.

Contact Information

Primary practice address
13295 Illinois St Suite 132 Carmel IN 46032-3019
Phone: (317) 440-4176
Fax: (775) 288-3479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39001720A Indiana

Profile Details

NPI number 1710943287
LBN Legal business name Shank, Stephanie
Credentials M.S., LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Feb 3rd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710943287 NPPES
Indiana Other 39001720A LMHC
Indiana MEDICAID 200835540 A LMHC
Indiana MEDICAID 201016750A LMHC
Indiana MEDICAID 200460530 LMHC

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