Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mind Rehabilitation & Resource Center

Organization Community/Behavioral Health Agency · NPI 1083073217

Mind Rehabilitation & Resource Center is a Community/Behavioral Health Agency in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2016.

Licensed in
LA
In the registry since
2016

Practice location Address checks out

1513 Line Ave Ste 135
Shreveport, LA 71101-4621
Phone: (318) 828-1455
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence 19320000X/101YM0800X (LA)

Record details

NPI number1083073217
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kamique Johnson — Mental Health Professional · (318) 780-2828
NPI enumeratedFebruary 16, 2016
Last updated in NPPESFebruary 16, 2016
Mailing address2923 Oak Forest Ln, Shreveport, LA 71107-5802

Other providers in Shreveport