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MIND REHABILITATION AND RESOURCE CENTER INC NPI 1851688105


NPI Information

NPI: 1851688105
Provider Name: MIND REHABILITATION AND RESOURCE CENTER, INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
6009 FINANCIAL PLZ STE 102
SHREVEPORT, LA
ZIP 71129
Phone: (318) 828-1455
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MIND REHABILITATION AND RESOURCE CENTER, INC is a mental health (including community mental health center) clinic center in Shreveport, LA. MIND REHABILITATION AND RESOURCE CENTER, INC NPI is 1851688105. The provider is registered as an organization entity type.

The provider's business location address is:

6009 FINANCIAL PLZ STE 102
SHREVEPORT, LA
ZIP 71129-615
Phone: (318) 828-1455

The provider's authorized official is Ken Akachukwu Chinweze .
The authorized official title is Administrator and has the following contact phone number (713) 553-5863.

The enumeration date for this NPI number is 7/7/2011 and was last updated on 7/8/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthLOUISIANANo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11154547578MEDICAIDLOUISIANA
21194941518MEDICAIDLOUISIANA
31427274851MEDICAIDLOUISIANA
41194941526MEDICAIDLOUISIANA
51245456664MEDICAIDLOUISIANA
61629294053MEDICAIDLOUISIANA
71447474135MEDICAIDLOUISIANA
81841414489MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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