Mind Rehabilitation & Resource Center

LBN: Mind Rehabilitation & Resource Center
Mind Rehabilitation & Resource Center is an health care organization with primary practice located at 1259 Fullilove Dr , Bossier City LA 71112-3340. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Mind Rehabilitation & Resource Center can be contacted via phone (318) 200-7859, or through Riley, Tonya M via phone (318) 828-1455.

Contact Information

Primary practice address
1259 Fullilove Dr Bossier City LA 71112-3340
Phone: (318) 200-7859
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Riley, Tonya M LPC-S
Phone: (318) 828-1455

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1972965556
LBN Legal business name Mind Rehabilitation & Resource Center
DBA Doing business as
Authorized official Riley, Tonya M LPC-S
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2016
Last updated Mar 23rd, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972965556 NPPES
Louisiana MEDICAID 1851688105

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