Provider Demographics
NPI:1851055172
Name:WENDY LOGSDON LCSW PLLC
Entity Type:Organization
Organization Name:WENDY LOGSDON LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOGSDON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:501-920-5945
Mailing Address - Street 1:PO BOX 1896
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72018-1896
Mailing Address - Country:US
Mailing Address - Phone:501-920-5945
Mailing Address - Fax:
Practice Address - Street 1:2806 W GREENBRIER
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72015-2678
Practice Address - Country:US
Practice Address - Phone:501-920-5945
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-22
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty