Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Phoenix Behavioral Health Center, PLLC

Organization Counselor · NPI 1093366775

Phoenix Behavioral Health Center, PLLC is a Counselor in Ocean Springs, Mississippi. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
6
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2112 Bienville Blvd Ste K
Ocean Springs, MS 39564-3067
Phone: (228) 819-2171
Fax: (228) 205-4986
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Psychologist (primary) Taxonomy 103TH0004X
Counselor Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
Psychologist Taxonomy 103T00000X
Clinical Psychologist Taxonomy 103TC0700X

Record details

NPI number1093366775
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathryn Waggoner — Ceo · (228) 819-2171
NPI enumeratedSeptember 24, 2019
Last updated in NPPESJune 10, 2024
Certification dateJune 10, 2024
Mailing address2112 Bienville Blvd Ste K, Ocean Springs, MS 39564-3067

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