Organization · Type 2 NPI
Ageless Minds LLC
Psychiatric/Mental Health Clinical Nurse Specialist · Indianapolis, IN
NPI number
1104769611
Active
Practice location
9165 Otis Ave Ste 164
Indianapolis, IN 46216-2312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist Primary | 364SP0808X | None listed |
Psychiatric/Mental Health Clinical Nurse Specialist: Definition to come...
About NPI 1104769611
Ageless Minds LLC's National Provider Identifier is 1104769611, issued on Apr 10, 2026. The primary taxonomy on file is Psychiatric/Mental Health Clinical Nurse Specialist (364SP0808X), and the practice location is in Indianapolis, IN. The record was last updated on Apr 10, 2026.