| NPI | 1669254181 |
|---|---|
| Doing Business As | MINDWAVE THERAPY |
| Former Legal Business Name | MACI SCUDDER THERAPY, LLC |
| Entity Type | Organization |
| Authorized Contact | MACI NICOLE SCUDDER Owner 501-492-6860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2024-02-29 |