1417934175 GULF COAST MENTAL HEALTH CENTER
Mental Health Clinic/Center (Including Community Mental Health Center)
Active
Basic Information
- Organization Name
- GULF COAST MENTAL HEALTH CENTER
- Enumeration Date
- December 23, 2005
- Last Update
- September 21, 2020
- Authorized Official
- MARY E JONES CPA
CFO
Phone: (228) 863-1132
Practice Location
- Address
- 1600 BROAD AVE
GULFPORT, MS 395013603 - Phone
- (228) 863-1132
- Fax
- (228) 865-1700
Mailing Address
- Address
- 1600 BROAD AVE
GULFPORT, MS 395013603 - Phone
- (228) 863-1132
- Fax
- (228) 865-1700
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Intellectual & Developmental Disabilities | 103TM1800X | Psychologist | REG13-SO-01 | MS | No |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | R-13-1 | MS | No |
| Mental Health Clinic/Center (Including Community Mental Health Center) Mental Health (Including Community Mental Health Center) | 261QM0801X | Clinic/Center | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C00120 | 01 | MS | CENTER MEDICARE ID |
| 00018213 | 05 | MS | N/A |
| QMP000005325798 | 01 | MS | MOLINA MEDICAID |
Frequently Asked Questions
What is GULF COAST MENTAL HEALTH CENTER's NPI number?
GULF COAST MENTAL HEALTH CENTER's NPI number is 1417934175.
Which doctor has NPI number 1417934175?
The doctor with NPI number 1417934175 is GULF COAST MENTAL HEALTH CENTER.
What is GULF COAST MENTAL HEALTH CENTER's practice address?
GULF COAST MENTAL HEALTH CENTER's practice address is 1600 BROAD AVE, GULFPORT, MS, 395013603.
Which doctor practices at 1600 BROAD AVE, GULFPORT, MS, 395013603?
GULF COAST MENTAL HEALTH CENTER practices at 1600 BROAD AVE, GULFPORT, MS, 395013603.
What is GULF COAST MENTAL HEALTH CENTER's phone number?
GULF COAST MENTAL HEALTH CENTER's phone number is (228) 863-1132.
Who is (228) 863-1132?
(228) 863-1132 is the phone number for GULF COAST MENTAL HEALTH CENTER.
What is GULF COAST MENTAL HEALTH CENTER's specialty?
GULF COAST MENTAL HEALTH CENTER's specialty is Mental Health Clinic/Center (Including Community Mental Health Center).
What type of doctor is GULF COAST MENTAL HEALTH CENTER?
GULF COAST MENTAL HEALTH CENTER is a Mental Health Clinic/Center (Including Community Mental Health Center).
Is GULF COAST MENTAL HEALTH CENTER a Mental Health (Including Community Mental Health Center)?
Yes, GULF COAST MENTAL HEALTH CENTER is a Mental Health (Including Community Mental Health Center).
Is GULF COAST MENTAL HEALTH CENTER still practicing?
Yes, GULF COAST MENTAL HEALTH CENTER is currently practicing.
Is GULF COAST MENTAL HEALTH CENTER accepting new patients?
GULF COAST MENTAL HEALTH CENTER may be accepting new patients. Please call their office at (228) 863-1132 to inquire about availability.
Is NPI 1417934175 still active?
Yes, NPI 1417934175 is currently active.
Where does GULF COAST MENTAL HEALTH CENTER practice?
GULF COAST MENTAL HEALTH CENTER practices in GULFPORT, MS.