Organization
VIBRANT MINDS THERAPY & CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA SMITH LCSW (CEO)
(318) 242-1441
Entity
Organization
Contact information
Practice address
820 JORDAN ST STE 509, SHREVEPORT, LA 71101-4526
(318) 242-1441
(318) 300-1130
Mailing address
820 JORDAN ST STE 509, SHREVEPORT, LA 71101-4526
(318) 242-1441
(318) 300-1130
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/02/2021
Last updated
06/16/2021
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