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NPI 1306393301

NPI 1306393301 : ABRAM SINN MA MFT LLC : INDIANAPOLIS, IN

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General NPI Number Information
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    NPI Number           |    1306393301
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    Entity Type          |    Organization 
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    Legal Business Name  |    ABRAM SINN MA MFT LLC 
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Dates
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    Enumeration Date     |    09/07/2016
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    Last Update Date     |    07/21/2025
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Provider Practice Location Address
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    Address Line         |    4040 S MERIDIAN ST STE 5 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46217-3310
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    Country              |    US
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    Telephone            |    317-460-4204
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4040 S MERIDIAN ST STE 5 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46217-3310
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    Country              |    US
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    Telephone            |    317-460-4204
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ABRAM THOMAS SINN 
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    Credential           |    
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    Telephone            |    317-460-4204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QM1300X
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    Taxonomy Name        |    Multi-Specialty Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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