Provider Demographics
NPI:1821668179
Name:ETIQUETTE TRAINING CONCEPTS
Entity Type:Organization
Organization Name:ETIQUETTE TRAINING CONCEPTS
Other - Org Name:TTR MEDITATION, COUNSELING & MENTORING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LAKESHA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MOSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:318-402-5916
Mailing Address - Street 1:509 SALLY ANN DR
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71106-6325
Mailing Address - Country:US
Mailing Address - Phone:318-402-5916
Mailing Address - Fax:
Practice Address - Street 1:509 SALLY ANN DR
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71106-6325
Practice Address - Country:US
Practice Address - Phone:318-402-5916
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-29
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty