Miracle Place Inc

LBN: Miracle Place Inc
Miracle Place Inc is an health care organization with primary practice located at 117 N Washington St , Bastrop LA 71220-3842. The organization recently has 4 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Agencies / Early Intervention Provider Agency, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Agencies / Community/Behavioral Health is the primary health care specialty. Miracle Place Inc can be contacted via phone (318) 556-3378, or through Taylor, Cynthia via phone (318) 509-9376.

Contact Information

Primary practice address
117 N Washington St Bastrop LA 71220-3842
Phone: (318) 556-3378
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Cynthia
Phone: (318) 509-9376

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Agencies / Early Intervention Provider Agency 252Y00000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1487028163
LBN Legal business name Miracle Place Inc
DBA Doing business as
Authorized official Taylor, Cynthia
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2015
Last updated Nov 18th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers