Healthcare Provider Details

I. General information

NPI: 1306393301
Provider Name (Legal Business Name): ABRAM SINN MA MFT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2016
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4040 S MERIDIAN ST STE 5
INDIANAPOLIS IN
46217-3310
US

IV. Provider business mailing address

4040 S MERIDIAN ST STE 5
INDIANAPOLIS IN
46217-3310
US

V. Phone/Fax

Practice location:
  • Phone: 317-460-4204
  • Fax:
Mailing address:
  • Phone: 317-460-4204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ABRAM THOMAS SINN
Title or Position: OWNER
Credential:
Phone: 317-460-4204