Healthcare Provider Details

I. General information

NPI: 1841000536
Provider Name (Legal Business Name): MAITRI COUNSELING COLLECTIVE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2025
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: 317-460-4812
  • Fax: 317-854-0516
Mailing address:
  • Phone: 317-460-4812
  • Fax: 317-854-0516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL
# 5
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: LINDSAY SINN
Title or Position: OWNER
Credential:
Phone: 317-460-4812