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A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Health Service |
103TH0100X | 62 | Psychologist, Clinical |
| NPI # | 1922977198 |
| LBN Legal business name | MADEWELL MINDS PLLC |
| Authorized official | ALEXIS KEITH - (FOUNDER AND CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/04/2025 |
| Last updated | 11/12/2025 - About 7 months ago |
| Identifiers | n/a |
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MADEWELL MINDS PLLC
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MADEWELL MINDS PLLC