| Seacoast Psycholocial Associates, Inc. | |
|
983 Howard Ave Biloxi MS 39530-3756 | |
| (228) 435-2673 | |
| (228) 435-2674 |
| Full Name | Seacoast Psycholocial Associates, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 983 Howard Ave, Biloxi, Mississippi |
| Authorized Official Name and Position | Grad Leo Flick (DIRECTOR) |
| Authorized Official Contact | 2284352673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seacoast Psycholocial Associates, Inc. 983 Howard Ave Biloxi MS 39530-3756 Ph: (228) 435-2673 | Seacoast Psycholocial Associates, Inc. 983 Howard Ave Biloxi MS 39530-3756 Ph: (228) 435-2673 |
| NPI Number | 1710107438 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710107438 | NPI | - | NPPES |
| 00017976 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 26352 (Mississippi) | Primary |
| 1041C0700X | Social Worker - Clinical | C0914 (Mississippi) | Primary |
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