Provider Demographics
NPI:1225712771
Name:MAUREEN SWEENEY LLC
Entity Type:Organization
Organization Name:MAUREEN SWEENEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SWEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:317-439-5643
Mailing Address - Street 1:8310 ALLISON POINTE BLVD STE 103B
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-1686
Mailing Address - Country:US
Mailing Address - Phone:317-439-5643
Mailing Address - Fax:
Practice Address - Street 1:8310 ALLISON POINTE BLVD STE 103B
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-1686
Practice Address - Country:US
Practice Address - Phone:317-439-5643
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health