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NPI Code Detail

MEDICARE: MS. SHELBY ELIZABETH DARTIS LCSW

MEDICARE: MS. SHELBY ELIZABETH DARTIS LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor34012757AIN

General Provider Information

NPI Number : 1699614875
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHELBY ELIZABETH DARTIS LCSW
Provider Business Mailing Address
First Line : 5489 AUTUMN WOODS LN APT 2A
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-1075
Country : US
Telephone Number : 317-361-6838
Fax Number :
Provider Business Practice Location Address
First Line : 6002 E 38TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46226-5614
Country : US
Telephone Number : 317-880-8491
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2026
Last Update Date : 03/25/2026

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