Ageless Minds Llc

LBN: Ageless Minds Llc
Ageless Minds Llc is an health care organization with primary practice located at 9165 Otis Ave Ste 164 , Indianapolis IN 46216-2312. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty. Ageless Minds Llc can be contacted via phone (317) 930-1557, or through Tadoum, Queela via phone (317) 930-1557.

Contact Information

Primary practice address
9165 Otis Ave Ste 164 Indianapolis IN 46216-2312
Phone: (317) 930-1557
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tadoum, Queela Nurse Practitioner (NP)
Phone: (317) 930-1557

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X

Profile Details

NPI number 1104769611
LBN Legal business name Ageless Minds Llc
DBA Doing business as
Authorized official Tadoum, Queela Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2026
Last updated Apr 10th, 2026 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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