institution
Gulf Coast Mental Health Center
Intellectual & Developmental Disabilities Psychologist in Gulfport, Mississippi
NPI 1598127771

Gulf Coast Mental Health Center is a Intellectual & Developmental Disabilities Psychologist based in Gulfport, MS and is specialized in Intellectual & Developmental Disabilities. Gulf Coast Mental Health Center practices in Gulfport, MS. The NPI Number for Gulf Coast Mental Health Center is 1598127771 and holds a License No. REG13-PVS-WAC-01 (Mississippi).

The current practice location address for Gulf Coast Mental Health Center is 1110 42Nd Ave, Gulfport, MS and can be reached out via phone at 228-868-2072 and via fax at 228-868-2091.

Location: 1110 42Nd Ave, Gulfport, MS, 39501-3603
institution
Provider Profile Details
NPI Number
1598127771
Provider Name
Gulf Coast Mental Health Center
Credential
Provider Entity Type
Organization
Address
1110 42Nd Ave, Gulfport, MS, 39501-3603
Phone Number
228-868-2072
Fax Number
228-868-2091
Provider Enumeration Date
03/25/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00770456 05 MS
institution
Provider Business Practice Location Address Details
Address
1110 42Nd Ave
City
State
Zip
39501-2663
Phone Number
228-868-2072
Fax Number
228-868-2091
person
Provider Business Mailing Address Details
Address
1110 42Nd Ave
City
State
Zip
39501-2663
Phone Number
228-868-2072
Fax Number
228-868-2091
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Intellectual & Developmental Disabilities
Taxonomy
License No.
REG13-PVS-WAC-01 (Mississippi)
Definition
Definition to come...
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