NPI 1104769611

Ageless Minds LLC

Organisation Psychiatric/Mental Health Clinical Nurse Specialist Indianapolis, IN

Practice location

Address: 9165 Otis Ave STE 164, Indianapolis, IN 46216-2312
Phone: (317) 930-1557

Authorised official

Name: Queela Tadoum
Title: Owner
Phone: (317) 930-1557

Registered specialties

Psychiatric/Mental Health Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0808X

Other Clinical Nurse Specialist providers in Indiana →

Registry record

NPI: 1104769611
Entity type: Organization
NPI issued: 10 Apr 2026
Record last updated: 10 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.