Healthcare Provider Details

I. General information

NPI: 1821929290
Provider Name (Legal Business Name): SOPHISTICATED JOY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 E 96TH ST STE 500
INDIANAPOLIS IN
46240-3760
US

IV. Provider business mailing address

450 E 96TH ST STE 500
INDIANAPOLIS IN
46240-3760
US

V. Phone/Fax

Practice location:
  • Phone: 463-222-9448
  • Fax:
Mailing address:
  • Phone: 463-222-9448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: SHANA ELIZABETH CURETON
Title or Position: CEO
Credential: PMHNP-BC
Phone: 463-222-9448