MIRROR OF GRACE OUTREACH (NPI# 1639595200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639595200 |
| Entity Type | Organization |
| Organization Name | MIRROR OF GRACE OUTREACH |
| Practice Address |
921 Lobdell Blvd Suite E Baton Rouge LA 70806-8811 |
| Practice Telephone | 2253004528 |
| Mailing Telephone | 2258929514 |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2014-03-06 |
| Authorized Official Name | MS. PATRICIA ANN HARREL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2253004528 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | ========= | LA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | LOUISIANA SECRETARY OF STATE | MS40353488N | 01 |
| Street Address |
921 LOBDELL BLVD SUITE E |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-8811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346854122 | Melanie Glotfelty | Voluntary or Charitable | 5745 Essen Ln Ste 220, Baton Rouge, LA 70810-1108 | 2020-08-31 |
| 1942751557 | Gateway Transition Center, Inc. | Voluntary or Charitable | 10510 Joor Rd, Suite 100, Baton Rouge, LA 70818-3900 | 2016-10-18 |
| 1992036818 | Working To Achieve | Voluntary or Charitable | 2784 Andover St, Baton Rouge, LA 70807-4401 | 2010-01-15 |
| 1760627392 | Patientassistance.com Inc. | Voluntary or Charitable | 11608 Darryl Dr, Baton Rouge, LA 70815-2137 | 2008-12-11 |
| 1174017461 | Assisi House, Inc. | Voluntary or Charitable | 1120 Government St, Baton Rouge, LA 70802-4802 | 2018-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790346849 | Laney Joseph Chouest | Voluntary or Charitable | 11075 Nicolle Blvd, Avondale, LA 70094-2939 | 2019-06-27 |
| 1356871164 | Hope4youth | Voluntary or Charitable | 2850 King Oaks Loop, Shreveport, LA 71107 | 2017-06-14 |
| 1649715624 | Four More Steps, Inc | Voluntary or Charitable | 4706 Euphrosine St, New Orleans, LA 70125-1240 | 2016-12-29 |
| 1730634049 | Society of St. Vincent Depaul, Archdiocesan Counsil of New Orleans | Voluntary or Charitable | 1995 Gentilly Blvd Ste C18, New Orleans, LA 70119-1700 | 2016-08-17 |
| 1235597311 | Bossier Council On Aging | Voluntary or Charitable | 706 Bearkat Dr, Bossier City, LA 71111-4566 | 2016-02-04 |
| 1982016580 | Bayou Advantage, LLC | Voluntary or Charitable | 13313 Jackson Rd, Zachary, LA 70791-7638 | 2014-05-30 |
| 1053658856 | Voices of International Business and Education | Voluntary or Charitable | 727 Carondelet Street, New Orleans, LA 70131 | 2013-01-14 |
| 1922392463 | Face To Face Enrichment Center | Voluntary or Charitable | 2010 S Burnside Ave Ste A, Gonzales, LA 70737-4637 | 2011-06-01 |
| 1932418712 | Galilee Housing Initiative & Community Development Corporation | Voluntary or Charitable | 726 Jackson Ave, New Orleans, LA 70130-4938 | 2010-09-28 |
| 1235364415 | East St. Tammany Mental Health Association | Voluntary or Charitable | 2237 1st St, Slidell, LA 70458-3605 | 2009-05-18 |
| Find all providers with the same taxonomy | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
Please comment or provide details below to improve the information on MIRROR OF GRACE OUTREACH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.