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1306429600
AUTHENTIC & INTENTIONAL MINDS, PLLC
AUSTIN, TX
NPI
1306429600
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Entity Type
Organization
Authorized Contact
ASHLEY D COULTER
Owner
682-302-1338
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date
2021-05-04
Last Update Date
2021-09-14
Business Address
AUTHENTIC & INTENTIONAL MINDS, PLLC
10011 STONELAKE BLVD APT 366
AUSTIN, TX 78759-6097
Phone number: 682-302-1359
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Mailing Address
AUTHENTIC & INTENTIONAL MINDS, PLLC
10011 STONELAKE BLVD APT 366
AUSTIN, TX 78759-6097
Phone number: 682-302-1338
Copy
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