Mindy Moore Psychotherapy PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDY MOORE PSYCHOTHERAPY PLLC

Practice address

415 N McKinley St Ste 635
Little Rock, AR 72205-3013

Phone

(501) 690-9773

NPI assigned

Nov 1, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mindy Moore

Title

Owner

Phone

(501) 690-9773

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan L Bryant, PH.D.

  • Clinical Psychologist
  • Little Rock, AR
  • NPI 1073510582
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1437814829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N MCKINLEY ST STE 635",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053013",
            "telephone_number": "501-690-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N MCKINLEY ST STE 635",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053013",
            "telephone_number": "501-690-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDY MOORE PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-690-9773"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aujania Latia Milton
• Simone Denae Milton, APRN
• Mimi Lee M.D., P.a.
• Mind Unwind
• Mindshift Integrated Services LLC
• Phillip J Mingola II, MD
• Alyson Rae Minor
• Melissa Rena Minor, LCSW
• Seth Nelson Minor, CRNA
• Allison Brooke Minton

• Clinical Social Worker in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.