Provider Demographics
NPI:1598966731
Name:SHUEY, MICAH J (LMHC)
Entity Type:Individual
Prefix:
First Name:MICAH
Middle Name:J
Last Name:SHUEY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:MICAH
Other - Middle Name:J
Other - Last Name:PERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:6626 E 75TH STREET
Mailing Address - Street 2:STE 500
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-2890
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1640 N RITTER AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46218-4904
Practice Address - Country:US
Practice Address - Phone:317-355-3104
Practice Address - Fax:317-355-7580
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker