Gulf Coast Industries | |
1110 42nd Ave Gulfport MS 39501-2663 | |
(228) 868-2072 | |
(228) 868-2091 |
Full Name | Gulf Coast Industries |
---|---|
Speciality | Psychologist - Intellectual & Developmental Disabilities |
Location | 1110 42nd Ave, Gulfport, Mississippi |
Authorized Official Name and Position | Thomas Pritchard (C F O) |
Authorized Official Contact | 2288631132 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gulf Coast Industries 1600 Broad Ave Gulfport MS 39501-3603 Ph: (228) 863-1132 | Gulf Coast Industries 1110 42nd Ave Gulfport MS 39501-2663 Ph: (228) 868-2072 |
NPI Number | 1598127771 |
---|---|
Provider Enumeration Date | 03/25/2016 |
Last Update Date | 03/25/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598127771 | NPI | - | NPPES |
00770456 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TM1800X | Psychologist - Intellectual & Developmental Disabilities | REG13-PVS-WAC-01 (Mississippi) | Primary |
Gulfport Behavioral Health System Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11150 Highway 49 Ste B, Gulfport, MS 39503 Phone: 228-867-5202 | |
New Hope Family Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3610 12th Ave, Gulfport, MS 39501 Phone: 910-229-1473 | |
Refined Therapy Group, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1403 43rd Ave Ste D, Gulfport, MS 39501 Phone: 601-215-5545 | |
Laura A Brodie Phd Clinical & Forensic Psychology Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1822 15th St, Gulfport, MS 39501 Phone: 228-678-1042 | |
Gulf Coast Neurospa Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8845 Lorraine Road, Gulfport, MS 39503 Phone: 228-277-1771 Fax: 866-740-0655 | |
Diane E Ross Md Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2160 E Pass Road, Suite D, Gulfport, MS 39507 Phone: 228-896-3317 Fax: 228-896-3314 | |
Catholic Charities Of South Mississippi Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1450 North St, Gulfport, MS 39507 Phone: 228-219-5995 |