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Organization

MACNIFICENT MINDS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ASHLEE MACK NP (NP-OWNER)
(463) 363-1212
Entity
Organization

Contact information

Practice address
4333 VILLAGE TRACE CT, INDIANAPOLIS, IN 46254
(463) 363-1212
Mailing address
3410 N HIGH SCHOOL RD STE G, INDIANAPOLIS, IN 46224-1100
(317) 652-9627

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
08/05/2025
Last updated
03/26/2026
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