Healthcare Provider Details

I. General information

NPI: 1770098683
Provider Name (Legal Business Name): SHELBY TAULBEE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2017
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

422 W LOVELAND AVE
LOVELAND OH
45140-2322
US

IV. Provider business mailing address

422 W LOVELAND AVE
LOVELAND OH
45140-2322
US

V. Phone/Fax

Practice location:
  • Phone: 513-334-7272
  • Fax: 513-676-0051
Mailing address:
  • Phone: 513-334-7272
  • Fax: 513-676-0051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberC.1801128-TRNE
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.2606259
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: