Individual
SHELISE MAHAIA DECAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
8710 BASH ST UNIT 50154, INDIANAPOLIS, IN 46250-4017
(442) 222-8055
Mailing address
8710 BASH ST UNIT 50154, INDIANAPOLIS, IN 46250-4017
(442) 222-8055
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35002180A
IN
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/26/2017
Last updated
09/09/2024
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