| Beach Therapy, Llc | |
|
526 E Second St Pass Christian MS 39571-4519 | |
| (228) 332-1789 | |
| Not Available |
| Full Name | Beach Therapy, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 526 E Second St, Pass Christian, Mississippi |
| Authorized Official Name and Position | Molly Wilson (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2283321789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beach Therapy, Llc 526 E Second St Pass Christian MS 39571-4519 Ph: (228) 332-1789 | Beach Therapy, Llc 526 E Second St Pass Christian MS 39571-4519 Ph: (228) 332-1789 |
| NPI Number | 1255809901 |
|---|---|
| Provider Enumeration Date | 11/09/2018 |
| Last Update Date | 08/13/2020 |
| Certification Date | 08/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255809901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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