Provider Demographics
NPI:1841000536
Name:MAITRI COUNSELING COLLECTIVE SERVICES LLC
Entity type:Organization
Organization Name:MAITRI COUNSELING COLLECTIVE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-460-4812
Mailing Address - Street 1:4040 S MERIDIAN ST STE 5
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46217-3310
Mailing Address - Country:US
Mailing Address - Phone:317-460-4812
Mailing Address - Fax:317-854-0516
Practice Address - Street 1:4040 S MERIDIAN ST STE 5
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46217-3310
Practice Address - Country:US
Practice Address - Phone:317-460-4812
Practice Address - Fax:317-854-0516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-13
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental HealthGroup - Multi-Specialty