Provider Demographics
NPI:1770309700
Name:SLABACH, KATIE (LMHC, ATR)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:SLABACH
Suffix:
Gender:
Credentials:LMHC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6029 INDIANOLA AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-2013
Mailing Address - Country:US
Mailing Address - Phone:574-536-9715
Mailing Address - Fax:
Practice Address - Street 1:494 N TOWN CENTER RD
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46158-1379
Practice Address - Country:US
Practice Address - Phone:765-343-6950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-25
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39005137A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health