| Graystone Group Llc | |
|
2218 18th St Ste B Gulfport MS 39501-2911 | |
| (401) 300-4729 | |
| Not Available |
| Full Name | Graystone Group Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2218 18th St Ste B, Gulfport, Mississippi |
| Authorized Official Name and Position | James Pinkston (CLINICIAN AND PARTNER) |
| Authorized Official Contact | 2286696278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Graystone Group Llc 2218 18th St Ste B Gulfport MS 39501-2911 Ph: (401) 300-4729 | Graystone Group Llc 2218 18th St Ste B Gulfport MS 39501-2911 Ph: (401) 300-4729 |
| NPI Number | 1609438977 |
|---|---|
| Provider Enumeration Date | 07/08/2019 |
| Last Update Date | 07/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609438977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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