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MIND REHABILITATION AND RESOURCE CENTER
NPI 1912364068
Community/Behavioral Health in Shreveport, LA

Active since January 20, 2016
1513 LINE AVE, SUITE 135, SHREVEPORT, LA 71101(318) 828-1455 Get Directions Write a Review

NPPES record last updated: January 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mind Rehabilitation And Resource Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIND REHABILITATION AND RESOURCE CENTER (NPI 1912364068) is a healthcare organization registered as a community/behavioral health in Shreveport, Louisiana and active in the NPI registry since January 2016. The organization lists Ken Chinweze, Owner, as its authorized official.

NPPES Registry Identity

NPI1912364068
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMIND REHABILITATION AND RESOURCE CENTER
Location Address1513 LINE AVE, SUITE 135Shreveport, LA 71101-4621
Mailing Address1513 Line Ave, Suite 135Shreveport, LA 71101-4621 · (318) 828-1455
Phone(318) 828-1455
Organization SubpartNo
Authorized OfficialKen ChinwezeOwner · (318) 828-1455
Enumeration DateJanuary 20, 2016
✔ NPI 1912364068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in LA · 101YM0800X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1513 LINE AVE, Shreveport, LA 71101
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Other Identifiers 1

Medicaid2154869LA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DESIREE LASHAY REED
Case Manager/Care Coordinator
1513 LINE AVE, SUITE 225
SHREVEPORT, LA 71101
Caddo Parish (318) 754-3890
MS. SHARNE BELL MA
Counselor (Mental Health)
1513 LINE AVE, SUITE 135
SHREVEPORT, LA 71101
Caddo Parish (318) 828-1455
DOUGLAS CURRY JR.
Community Health Worker
1513 LINE AVE, SUITE 315
SHREVEPORT, LA 71101
Caddo Parish (318) 221-2828
LONZO SHEFFIELD III
Counselor (Mental Health)
1513 LINE AVE, SUITE 225
SHREVEPORT, LA 71101
Caddo Parish (318) 754-3890
TAMIKA RHINEHART
Case Manager/Care Coordinator
1513 LINE AVE, SUITE 225
SHREVEPORT, LA 71101
Caddo Parish (318) 754-3890
MARTIN JAMES DYKES L.A.C.
Counselor (Addiction (Substance Use Disorder))
1513 LINE AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 742-5146
JENNIFER WILLIAMS
Case Manager/Care Coordinator
1513 LINE AVE, SUITE 315
SHREVEPORT, LA 71101
Caddo Parish (318) 221-2828
LATOYA WASHINGTON
Counselor (Mental Health)
1513 LINE AVE, SUITE 230
SHREVEPORT, LA 71101
Caddo Parish (318) 670-8858

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mind Rehabilitation And Resource Center's NPI number?

The NPI number for Mind Rehabilitation And Resource Center is 1912364068. It was assigned to this organization in the NPPES registry on January 20, 2016.

Where is Mind Rehabilitation And Resource Center located?

Mind Rehabilitation And Resource Center is located at 1513 Line Ave Suite 135, Shreveport, LA 71101. The listed phone number is (318) 828-1455.

What is Mind Rehabilitation And Resource Center's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Mind Rehabilitation And Resource Center was last updated on January 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.