| Gulf Coast Family Counseling Agency | |
|
509 Jackson Ave Ocean Springs MS 39564-4619 | |
| (228) 875-6113 | |
| (228) 875-6113 |
| Full Name | Gulf Coast Family Counseling Agency |
|---|---|
| Speciality | Social Worker |
| Location | 509 Jackson Ave, Ocean Springs, Mississippi |
| Authorized Official Name and Position | Laura Tracy-kinsey (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2288756113 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Family Counseling Agency Po Box 1073 Ocean Springs MS 39566-1073 Ph: (228) 875-6113 | Gulf Coast Family Counseling Agency 509 Jackson Ave Ocean Springs MS 39564-4619 Ph: (228) 875-6113 |
| NPI Number | 1629293691 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 04/15/2022 |
| Certification Date | 04/15/2022 |
| Medicare PECOS PAC ID | 9537239389 |
|---|---|
| Medicare Enrollment ID | O20080619000741 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629293691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Reva G Oakes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760567721 PECOS PAC ID: 7416028303 Enrollment ID: I20080620000194 |
| Provider Name | Laura Tracy Kinsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912098146 PECOS PAC ID: 1153491907 Enrollment ID: I20111108000634 |
| Provider Name | Megan Lockley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295010478 PECOS PAC ID: 2264713726 Enrollment ID: I20161222000033 |
| Provider Name | Anita Twiner-watkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720401813 PECOS PAC ID: 5395078893 Enrollment ID: I20190617001213 |
| Provider Name | Elizabeth Casey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588030563 PECOS PAC ID: 6901134949 Enrollment ID: I20190828003228 |
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