MEDICARE: MAUREEN SWEENEY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1225712771
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAUREEN SWEENEY LLC

Provider Business Mailing Address
First Line	:	8310 ALLISON POINTE BLVD STE 103B
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-1686
Country	:	US
Telephone Number	:	317-439-5643
Fax Number	:

Provider Business Practice Location Address
First Line	:	8310 ALLISON POINTE BLVD STE 103B
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-1686
Country	:	US
Telephone Number	:	317-439-5643
Fax Number	:

Authorized Official
Title or Position	:	LICENSED MENTAL HEALTH COUNSELOR
Name	:	MAUREEN SWEENEY
Credential	:	LMHC
Telephone Number	:	317-439-5643

Provider Enumeration Date	:	06/14/2023
Last Update Date	:	06/14/2023

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