Healthcare Provider Details

I. General information

NPI: 1588815260
Provider Name (Legal Business Name): DENISE ANNETTE SELLERS LMHC, LCAC, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2008
Last Update Date: 01/31/2024
Certification Date: 01/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8310 ALLISON POINTE BLVD STE 203B
INDIANAPOLIS IN
46250-1998
US

IV. Provider business mailing address

13712 ASHWOOD LN
FISHERS IN
46038-8516
US

V. Phone/Fax

Practice location:
  • Phone: 574-360-4175
  • Fax:
Mailing address:
  • Phone: 574-360-4175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number39002198A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: