Healthcare Provider Details

I. General information

NPI: 1770487142
Provider Name (Legal Business Name): SHELBY POINTE DEVELOPMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2621 STRINGTOWN RD
EVANSVILLE IN
47711-3378
US

IV. Provider business mailing address

2655 KEYSTONE CT
NEWBURGH IN
47630-9341
US

V. Phone/Fax

Practice location:
  • Phone: 812-274-2600
  • Fax:
Mailing address:
  • Phone: 812-499-3384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. STEPHANIE S BRINKERHOFF
Title or Position: OWNER/MANAGER
Credential: LCSW
Phone: 812-499-3384