| Catalyst Counseling And Therapy Services Llc | |
|
1520 29th Ave Ste 33 Gulfport MS 39501-2843 | |
| (858) 926-9366 | |
| Not Available |
| Full Name | Catalyst Counseling And Therapy Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1520 29th Ave Ste 33, Gulfport, Mississippi |
| Authorized Official Name and Position | Ashira Windsor (CEO) |
| Authorized Official Contact | 8589269366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catalyst Counseling And Therapy Services Llc 10423 Chapelwood Dr Gulfport MS 39503-8095 Ph: (858) 926-9366 | Catalyst Counseling And Therapy Services Llc 1520 29th Ave Ste 33 Gulfport MS 39501-2843 Ph: (858) 926-9366 |
| NPI Number | 1477015444 |
|---|---|
| Provider Enumeration Date | 04/01/2019 |
| Last Update Date | 05/14/2019 |
| Medicare PECOS PAC ID | 2365776911 |
|---|---|
| Medicare Enrollment ID | O20190702000282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477015444 | NPI | - | NPPES |
| 02489806 | Medicaid | MS |
| Provider Name | Ashira Windsor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003154451 PECOS PAC ID: 9739431933 Enrollment ID: I20181017001228 |
| Provider Name | Reginald E Magee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336573914 PECOS PAC ID: 7517383797 Enrollment ID: I20200818004049 |
| Provider Name | Alvin Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598210882 PECOS PAC ID: 7214357938 Enrollment ID: I20201020000056 |
| Provider Name | Alexis Baricev Foust |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184177867 PECOS PAC ID: 8426468687 Enrollment ID: I20201029002291 |
| Provider Name | Kelly B Harmon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770807026 PECOS PAC ID: 4981013067 Enrollment ID: I20210430000396 |
| Provider Name | Holly D Fedele |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225782162 PECOS PAC ID: 0547654725 Enrollment ID: I20220304000316 |
| Provider Name | Danielle Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326577594 PECOS PAC ID: 9436593209 Enrollment ID: I20240220003078 |
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