Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ageless Minds LLC

Organization Psychiatric/Mental Health Clinical Nurse Specialist · NPI 1104769611

Ageless Minds LLC is a Psychiatric/Mental Health Clinical Nurse Specialist in Indianapolis, Indiana. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9165 Otis Ave Ste 164
Indianapolis, IN 46216-2312
Phone: (317) 930-1557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Clinical Nurse Specialist (primary) Taxonomy 364SP0808X

Record details

NPI number1104769611
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Queela Tadoum — Owner · (317) 930-1557
NPI enumeratedApril 10, 2026
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026
Mailing address9165 Otis Ave Ste 164, Indianapolis, IN 46216-2312

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