Gulf Coast Mental Health Center in Gulfport - Mental Health (including Community Mental Health Center)
Gulf Coast Mental Health Center - NPI 1417934175
Gulf Coast Mental Health Center is a Mental Health (including Community Mental Health Center) in Gulfport, Mississippi. Gulf Coast Mental Health Center practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Gulf Coast Mental Health Center is 1417934175. The last update date is 2020-09-21.
Gulf Coast Mental Health Center's current location address is 1600 Broad Ave, Gulfport, Mississippi. You can contact this provider via phone number 2288631132 and fax number 2288651700. The mailing address for Gulf Coast Mental Health Center is 1600 Broad Ave, Gulfport, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gulf Coast Mental Health Center |
|---|---|
| Address | 1600 Broad Ave, Gulfport, Mississippi |
| Phone Number | 2288631132 |
| Fax Number | 2288651700 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Jones E Mary |
| Credentials | CPA |
| Telephone Number | 2288631132 |
NPI Number Detail
| NPI Number | 1417934175 |
|---|---|
| Provider Enumeration Date | 2005-12-23 |
| Last Updated Date | 2020-09-21 |
Provider Mailing Address Detail
| Address | 1600 Broad Ave |
|---|---|
| City | Gulfport |
| State | Mississippi (MS) |
| Post Code | 395013603 |
| Phone Number | 2288631132 |
| Fax Number | 2288651700 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
|
Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| C00120 | MS | CENTER MEDICARE ID | |
| 18213 | MS | -- | |
| QMP000005325798 | MS | MOLINA MEDICAID |
Post Comment/ Review Below
What is the Gulf Coast Mental Health Center's 1417934175?
The Gulf Coast Mental Health Center's NPI (National Provider Identifier) Number is 1417934175. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Gulf Coast Mental Health Center?
The Gulf Coast Mental Health Center is physically situated at 1600 Broad Ave, in the city of Gulfport, state of MS, with the postal code 395013603.
What is the Gulf Coast Mental Health Center's specialty and taxonomy code?
The Gulf Coast Mental Health Center's specialty is Mental Health (including Community Mental Health Center), and the corresponding taxonomy code is 261Qm0801X.
On what date did the Gulf Coast Mental Health Center receive the assignment of its 1417934175 from the Centers for Medicare & Medicaid Services?
The Gulf Coast Mental Health Center was issued its 1417934175 by the Centers for Medicare & Medicaid Services on 2005-12-23.
When was the Gulf Coast Mental Health Center's information last updated?
The Gulf Coast Mental Health Center's information was last updated on 2020-09-21.
NPI Number: 1669475612
Address: 8906 Spanish Ridge Ave Ste 202, Las Vegas, NV
NPI Number: 1912900960
Address: 2350 N University Dr Unit 841423, Pembroke Pines, FL