Awakening Grace Therapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AWAKENING GRACE THERAPY LLC

Practice address

2123 Shed Rd Ste 14
Bossier City, LA 71111-3617

Phone

(318) 540-8576

Fax

(318) 383-0956

NPI assigned

Feb 20, 2025

Last updated

Sep 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Jo Rei, LCSWNPI 1871744722

Title

Owner/Therapist

Phone

(318) 540-8576

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie Jo Rei, LCSW-BACS, C-SSWS

  • Clinical Social Worker
  • Haughton, LA
  • NPI 1871744722
  NPD Authorized official

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1669278735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 DOGWOOD SOUTH LN",
            "city": "HAUGHTON",
            "state": "LA",
            "postal_code": "710378554",
            "telephone_number": "318-540-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 SHED RD STE 14",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113617",
            "telephone_number": "318-540-8576",
            "fax_number": "318-383-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKENING GRACE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "REI",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "318-540-8576",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.