Organization · Type 2 NPI

Reviving Minds LLC

Psychiatric/Mental Health Nurse Practitioner · Covington, LA

NPI number 1669856514 Active

Practice location

70493 Highway 21 Ste 500
Covington, LA 70433-7017

Call (985) 750-1534 Map

Fax (985) 790-7090

Mailing address

70380 Highway 21 Ste 2
Covington, LA 70433-8128

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAP08162 (LA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1669856514

Reviving Minds LLC's National Provider Identifier is 1669856514, issued on Jul 9, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Covington, LA. The record was last updated on Feb 4, 2026.