# ATHENA ANTIPPAS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1063845501
- **Gender:** F
- **Credential:** LPC-S, NCC, MS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | 4452 | LA | — |
| 171M00000X | Case Manager/Care Coordinator | 4452 | LA | Yes |

## Other

- **Enumeration date:** 08/20/2013
- **Last updated:** 07/09/2021