Healthcare Provider Details

I. General information

NPI: 1700531142
Provider Name (Legal Business Name): SHAWNA SLONE HALL LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHAWNA LOUISE HALL

II. Dates (important events)

Enumeration Date: 02/15/2022
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 LINCOLNWAY W STE Q
OSCEOLA IN
46561-2063
US

IV. Provider business mailing address

10910 PERRY PEAR DR
ZIONSVILLE IN
46077-8590
US

V. Phone/Fax

Practice location:
  • Phone: 574-651-8912
  • Fax: 574-281-4412
Mailing address:
  • Phone: 574-651-8912
  • Fax: 574-281-4412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6451022106
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39006000A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: