Organization
MINDY MOORE PSYCHOTHERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY MOORE (OWNER)
(501) 690-9773
Entity
Organization
Contact information
Practice address
415 N MCKINLEY ST STE 635, LITTLE ROCK, AR 72205-3013
(501) 690-9773
Mailing address
415 N MCKINLEY ST STE 635, LITTLE ROCK, AR 72205-3013
(501) 690-9773
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
11/01/2021
Last updated
12/20/2021
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