Organization
AGELESS MINDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUEELA TADOUM NP (OWNER)
(317) 930-1557
Entity
Organization
Contact information
Practice address
9165 OTIS AVE STE 164, INDIANAPOLIS, IN 46216-2312
(317) 930-1557
Mailing address
9165 OTIS AVE STE 164, INDIANAPOLIS, IN 46216-2312
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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