Organization
REVIVING MINDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELA SPIKES BICKHAM NP (OWNER/NURSE PRACTITIONER)
(985) 750-1534
Entity
Organization
Contact information
Practice address
70493 HIGHWAY 21 STE 500, COVINGTON, LA 70433-7017
(985) 750-1534
(985) 790-7090
Mailing address
70380 HIGHWAY 21 STE 2, COVINGTON, LA 70433-8128
(985) 750-1534
(985) 790-7090
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP08162
LA
Other
Enumeration date
07/09/2015
Last updated
02/04/2026
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