Mindwave Therapy
LBN: Maci Scudder Therapy
Mindwave Therapy is an health care organization with primary practice located at 2020 W 3Rd St Ste 500C , Little Rock AR 72205-4466. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Maci Scudder Therapy can be contacted via phone (501) 492-6860, or through Scudder, Maci Nicole via phone (501) 492-6860.
Contact Information
Primary practice address
2020 W 3Rd St Ste 500C
Little Rock AR 72205-4466
Phone: (501) 492-6860
Fax: (501) 406-3671
Website:
Authorized official contact:
Name: Scudder, Maci Nicole Licensed Clinical Social Worker (LCSW)
Phone: (501) 492-6860
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X |
Profile Details
| NPI number | 1669254181 |
|---|---|
| LBN Legal business name | Maci Scudder Therapy |
| DBA Doing business as | Mindwave Therapy |
| Authorized official | Scudder, Maci Nicole Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 18th, 2023 |
| Last updated | Feb 29th, 2024 - about 10 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669254181 | NPPES |
| Arkansas | MEDICAID | 1326524927 | |
| Arkansas | MEDICAID | 1669524181 |
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