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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