# REVIVING MINDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669856514
- **Authorized official:** KELA SPIKES BICKHAM NP (OWNER/NURSE PRACTITIONER)
- **Authorized official phone:** (985) 750-1534

## Contact information

- **Practice address:** 70493 HIGHWAY 21 STE 500, COVINGTON, LA 70433-7017
- **Practice address phone:** (985) 750-1534
- **Practice address fax:** (985) 790-7090
- **Mailing address:** 70380 HIGHWAY 21 STE 2, COVINGTON, LA 70433-8128
- **Mailing address phone:** (985) 750-1534
- **Mailing address fax:** (985) 790-7090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP08162 | LA | Yes |

## Other

- **Enumeration date:** 07/09/2015
- **Last updated:** 02/04/2026