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 |
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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 |
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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 |
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Provider Enumeration Date | 04/01/2019 |
Last Update Date | 05/14/2019 |
Medicare PECOS PAC ID | 2365776911 |
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Medicare Enrollment ID | O20190702000282 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477015444 | NPI | - | NPPES |
02489806 | Medicaid | MS |
Provider Name | Ashira Windsor |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1003154451 PECOS PAC ID: 9739431933 Enrollment ID: I20181017001228 |
Provider Name | Reginald E Magee |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1336573914 PECOS PAC ID: 7517383797 Enrollment ID: I20200818004049 |
Provider Name | Alvin Baker |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598210882 PECOS PAC ID: 7214357938 Enrollment ID: I20201020000056 |
Provider Name | Alexis Baricev Foust |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1184177867 PECOS PAC ID: 8426468687 Enrollment ID: I20201029002291 |
Provider Name | Kelly B Harmon |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1770807026 PECOS PAC ID: 4981013067 Enrollment ID: I20210430000396 |
Provider Name | Holly D Fedele |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1225782162 PECOS PAC ID: 0547654725 Enrollment ID: I20220304000316 |
Provider Name | Danielle Anderson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326577594 PECOS PAC ID: 9436593209 Enrollment ID: I20240220003078 |
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