Organization
AUTHENTIC MINDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETTA KEMYATA BROWN LPC (MANAGING PARTNER)
(601) 698-4172
Entity
Organization
Contact information
Practice address
333 TEXAS STREET, SUITE 1300, SHREVEPORT, LA 71101
(601) 698-4172
Mailing address
2306 VILLAGGIO BLVD., BOSSIER CITY, LA 71111
(601) 698-4172
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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