| Mental Health Services, Llc | |
|
1455 E Pass Rd B Gulfport MS 39507-3523 | |
| (228) 563-3879 | |
| (228) 864-6979 |
| Full Name | Mental Health Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1455 E Pass Rd, Gulfport, Mississippi |
| Authorized Official Name and Position | Estelle Lacoste Robinson (SOLE PROPRIETOR) |
| Authorized Official Contact | 2285633879 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Services, Llc 1455 E Pass Rd B Gulfport MS 39507-3523 Ph: (228) 563-3879 | Mental Health Services, Llc 1455 E Pass Rd B Gulfport MS 39507-3523 Ph: (228) 563-3879 |
| NPI Number | 1326477001 |
|---|---|
| Provider Enumeration Date | 11/04/2013 |
| Last Update Date | 11/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326477001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1715 (Mississippi) | Primary |
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