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Organization

MIND SPRING PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WAJAHAT MACCI (DIRECTOR)
(312) 600-5061
Entity
Organization

Contact information

Practice address
740 E 52ND ST STE 11, INDIANAPOLIS, IN 46205-1176
(312) 600-5061
Mailing address
800 ENTERPRISE DR STE 214, OAK BROOK, IL 60523-4218

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
104100000X
Social Worker
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
02/10/2026
Last updated
02/10/2026
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