| Authentic Minds, Llc | |
|
333 Texas Street Suite 1300 Shreveport LA 71101 | |
| (601) 698-4172 | |
| Not Available |
| Full Name | Authentic Minds, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 333 Texas Street, Shreveport, Louisiana |
| Authorized Official Name and Position | Etta Kemyata Brown (MANAGING PARTNER) |
| Authorized Official Contact | 6016984172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Minds, Llc 2306 Villaggio Blvd. Bossier City LA 71111 Ph: (601) 698-4172 | Authentic Minds, Llc 333 Texas Street Suite 1300 Shreveport LA 71101 Ph: (601) 698-4172 |
| NPI Number | 1275104291 |
|---|---|
| Provider Enumeration Date | 07/09/2021 |
| Last Update Date | 07/09/2021 |
| Certification Date | 07/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275104291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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