Organization
MACI SCUDDER THERAPY
Active
Organization
MACI SCUDDER THERAPY
Active
Other names
MINDWAVE THERAPY, Maci Scudder Therapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MACI NICOLE SCUDDER LCSW (OWNER)
(501) 492-6860
Entity
Organization
Contact information
Practice address
1501 N UNIVERSITY AVE STE 915, LITTLE ROCK, AR 72207-5238
(501) 492-6860
(501) 406-3671
Mailing address
1501 N UNIVERSITY AVE STE 915, LITTLE ROCK, AR 72207-5238
(501) 492-6860
(501) 406-3671
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326524927
—
AR
05
—
1669524181
—
AR
Enumeration date
10/18/2023
Last updated
10/06/2025
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