Organization
HEARTS AND MINDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA LYNN MINOR NP (NP/OWNER)
(719) 792-0662
Entity
Organization
Contact information
Practice address
1006 HIGHLAND AVE, SHREVEPORT, LA 71101-4103
(318) 678-7500
Mailing address
2529 LAKEWAY DR, SHREVEPORT, LA 71109-3006
(719) 792-0662
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/20/2020
Last updated
01/20/2023
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