| Seaside Psychotherapy Gulf Coast | |
|
2113 Government St Ste I-2e Ocean Springs MS 39564-3954 | |
| (228) 222-8006 | |
| Not Available |
| Full Name | Seaside Psychotherapy Gulf Coast |
|---|---|
| Speciality | Social Worker |
| Location | 2113 Government St Ste I-2e, Ocean Springs, Mississippi |
| Authorized Official Name and Position | Ashley P Pearson (OWNER) |
| Authorized Official Contact | 5043192837 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seaside Psychotherapy Gulf Coast 3818 Chaumont Cir Ocean Springs MS 39564-8539 Ph: (504) 319-2837 | Seaside Psychotherapy Gulf Coast 2113 Government St Ste I-2e Ocean Springs MS 39564-3954 Ph: (228) 222-8006 |
| NPI Number | 1265088306 |
|---|---|
| Provider Enumeration Date | 08/14/2019 |
| Last Update Date | 09/15/2019 |
| Medicare PECOS PAC ID | 9032541461 |
|---|---|
| Medicare Enrollment ID | O20191122001892 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265088306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ashley Pugeau Pearson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134296809 PECOS PAC ID: 7618028275 Enrollment ID: I20110228000227 |
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