Mirror of Grace Outreach

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

MIRROR OF GRACE OUTREACH

Practice address

921 Lobdell Blvd
Suite E
Baton Rouge, LA 70806-8811

Phone

(225) 300-4528

NPI assigned

Mar 6, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Patricia Ann Harrel

Title

Executive Director

Phone

(225) 300-4528

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1639595200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 LOBDELL BLVD",
            "address_2": "SUITE E",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068811",
            "telephone_number": "225-892-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 LOBDELL BLVD",
            "address_2": "SUITE E",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068811",
            "telephone_number": "225-300-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRROR OF GRACE OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HARREL",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "225-300-4528",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA SECRETARY OF STATE",
            "identifier": "MS40353488N",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Voluntary or Charitable Agency in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Voluntary or Charitable Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.