Dove Outreach Center, Inc.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

14577 Issued in LA

Legal business name

DOVE OUTREACH CENTER, INC.

Practice address

9445 Syble Dr
Baton Rouge, LA 70814-4053

Phone

(225) 246-8824

Fax

(225) 246-8299

NPI assigned

Mar 16, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Booker, OWNER

Title

Owner/Director

Phone

(225) 326-1772

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1912221201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45371",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708954371",
            "telephone_number": "225-246-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9445 SYBLE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708144053",
            "telephone_number": "225-246-8824",
            "fax_number": "225-246-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVE OUTREACH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "BOOKER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "225-326-1772",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "LA",
            "license": "14577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3104A0625X",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Douglas
• William Hamilton Douglas III
• Amy Douglass, PHARMD
• Michelle C Douzat
• Dove Business Services Inc.
• Dove Transport
• Andrew Ryan Dow, APRN FNP
• Tiffany Dow
• Carlie Dowell
• Patricia Peters Dowling, MS, LPC, NCC

• Assisted Living Facility (Mental Illness) in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Assisted Living Facility (Mental Illness) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.