Gulf Coast Mental Health Center
Gulf Coast Mental Health Center is an Intellectual & Developmental Disabilities Psychologist in Gulfport, Mississippi. Licensed in Mississippi. Registered with an NPI since 2005.
- Licensed in
- MS
- In the registry since
- 2005
- Specialties on file
- 3
Practice location Address checks out
1600 Broad AveGulfport, MS 39501-3603
Phone: (228) 863-1132
Fax: (228) 865-1700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|---|
| Intellectual & Developmental Disabilities Psychologist | Taxonomy 103TM1800X · Licence REG13-SO-01 (MS) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X · Licence R-13-1 (MS) |
Record details
| NPI number | 1417934175 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mary Jones — Cfo · (228) 863-1132 |
| Other names | Gulf Coast Mental Health Center |
| NPI enumerated | December 23, 2005 |
| Last updated in NPPES | September 21, 2020 |
| Certification date | September 21, 2020 |
| Mailing address | 1600 Broad Ave, Gulfport, MS 39501-3603 |
Other providers in Gulfport
-
Gulf Coast Mental Health Center
1110 42nd Ave, Gulfport, MS 39501-2663 · (228) 868-2072
-
Gulf Coast Mental Health Center
1600 Broad Ave, Gulfport, MS 39501-3603 · (228) 863-1132