Organization Active NPI

Love Is Outreach Program

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mesquite, TX
National Provider Identifier
1336866466
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LOVE IS OUTREACH PROGRAM
Doing business as
Love Is Outreach Program
Practice address
1901 Smokey Mountain TRL
Mesquite, TX 75149-4861
Phone
(469) 831-6486
NPI assigned
Oct 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Marquesia Carlisle, RN
Title
Founder, Cei
Phone
(469) 831-6486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1901 Smokey Mountain TRL
Mesquite, TX 75149-4861

Mailing address

1901 Smokey Mountain TRL
Mesquite, TX 75149-4861
Phone (469) 831-6486

Other names 1

  • Love Is Outreach Program Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1336866466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 SMOKEY MOUNTAIN TRL",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751494861",
            "telephone_number": "469-831-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 SMOKEY MOUNTAIN TRL",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751494861",
            "telephone_number": "469-831-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE IS OUTREACH PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "CARLISLE",
        "authorized_official_first_name": "MARQUESIA",
        "authorized_official_title_or_position": "FOUNDER, CEI",
        "authorized_official_telephone_number": "469-831-6486",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Love Is Outreach Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.