| Authentic & Intentional Minds, Pllc | |
|
10011 Stonelake Blvd Apt 366 Austin TX 78759-6097 | |
| (682) 302-1359 | |
| Not Available |
| Full Name | Authentic & Intentional Minds, Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 10011 Stonelake Blvd Apt 366, Austin, Texas |
| Authorized Official Name and Position | Ashley D Coulter (OWNER) |
| Authorized Official Contact | 6823021338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic & Intentional Minds, Pllc 10011 Stonelake Blvd Apt 366 Austin TX 78759-6097 Ph: (682) 302-1338 | Authentic & Intentional Minds, Pllc 10011 Stonelake Blvd Apt 366 Austin TX 78759-6097 Ph: (682) 302-1359 |
| NPI Number | 1306429600 |
|---|---|
| Provider Enumeration Date | 05/04/2021 |
| Last Update Date | 09/14/2021 |
| Certification Date | 09/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306429600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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