Healthcare Provider Details

I. General information

NPI: 1811801855
Provider Name (Legal Business Name): DLS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 SADLER ROW APT 205
CARMEL IN
46032-9828
US

IV. Provider business mailing address

360 SADLER ROW APT 205
CARMEL IN
46032-9828
US

V. Phone/Fax

Practice location:
  • Phone: 317-372-7994
  • Fax:
Mailing address:
  • Phone: 317-372-7994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. ELLEN MURER BAILEY
Title or Position: OWNER
Credential: LCSW
Phone: 317-372-7994