| Coast Counseling Center | |
|
127 Gary St Gulfport MS 39503-3503 | |
| (228) 832-0556 | |
| (228) 831-4495 |
| Full Name | Coast Counseling Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 127 Gary St, Gulfport, Mississippi |
| Authorized Official Name and Position | Richard Olaivar (DIRECTOR) |
| Authorized Official Contact | 2283632022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coast Counseling Center Po Box 3367 Gulfport MS 39505-3367 Ph: (228) 832-0556 | Coast Counseling Center 127 Gary St Gulfport MS 39503-3503 Ph: (228) 832-0556 |
| NPI Number | 1750412912 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750412912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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