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Reviving Minds Llc
Psychiatric/Mental Health Nurse Practitioner in Covington, Louisiana
NPI 1669856514

Reviving Minds Llc is a Psychiatric/Mental Health Nurse Practitioner based in Covington, LA and is specialized in Psychiatric/Mental Health. Reviving Minds Llc practices in Covington, LA. The NPI Number for Reviving Minds Llc is 1669856514 and holds a License No. AP08162 (Louisiana).

The current practice location address for Reviving Minds Llc is 112 Innwood Dr Ste H, Covington, LA and can be reached out via phone at 985-893-0693 and via fax at 985-790-7090.

Location: 112 Innwood Dr Ste H, Covington, LA, 70433-8128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669856514
Provider Name
Reviving Minds Llc
Credential
Provider Entity Type
Organization
Address
112 Innwood Dr Ste H, Covington, LA, 70433-8128
Phone Number
985-893-0693
Fax Number
985-790-7090
Provider Enumeration Date
07/09/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
112 Innwood Dr Ste H
City
Covington
State
Louisiana
Zip
70433-9134
Phone Number
985-893-0693
Fax Number
985-790-7090
person
Provider Business Mailing Address Details
Address
112 Innwood Dr Ste H
City
Covington
State
Louisiana
Zip
70433-9134
Phone Number
985-893-0693
Fax Number
985-790-7090
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
AP08162 (Louisiana)
Definition
Definition to come...
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