Gulf Coast Mental Health Center
NPI #1861715773 in Gulfport, Mississippi
Provider Information
- NPI Number
- 1861715773
- Entity Type
- Organization
- Organization Name
- Gulf Coast Mental Health Center
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- GULF COAST MENTAL HEALTH CENTER
- Primary Specialty
- Psychologist - Intellectual & Developmental Disabilities
- Enumeration Date
- Mar 5, 2010
- Last Updated
- Oct 21, 2019
Practice Location
- Address
- 1600 BROAD AVE
- City
- Gulfport
- State
- Mississippi
- ZIP Code
- 39501-3603
- Phone
- (228) 863-1132
Authorized Official
- Name
- DEBORA J STANOVICH
- Title
- CREDENTIALS SPECIALIST
- Phone
- (228) 863-1132
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| Aleshia Moffett, MS | |
| Rosemary M Bishop, BS | |
| DR. Andre Paul Buteau, PH.D. |
Organizations
| Provider Name | |
|---|---|
| Gulf Coast Mental Health Center Part of Gulf Coast Mental Health Center | |
| Region 8 Mh/mr Commission |
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