Organization · Type 2 NPI
Gulf Coast Mental Health Center
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Bay St. Louis, MS
Practice location
819B Central Ave
Bay St. Louis, MS 39520-3913
Fax (228) 865-1700
Mailing address
1600 Broad Ave
Gulfport, MS 39501-3603
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | M9097 (MS) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
9 other providers at this address
- Barry PickreignProfessional Counselor Bay St. Louis, MS NPI 1871211854
- Denisha V. McNair, PCMHTCounselor Bay St. Louis, MS NPI 1609723147
- Johnny MillerMental Health Counselor Bay St. Louis, MS NPI 1710607288
- Karen ChevisCounselor Bay St. Louis, MS NPI 1205564861
- Laura GamboaSocial Worker Bay St. Louis, MS NPI 1871216697
- Maryellen Mann, PCMHTMental Health Counselor Bay St. Louis, MS NPI 1588443212
- Regan Bellman, PCCSSCounselor Bay St. Louis, MS NPI 1851142194
- Santana Polk, PCMHTMental Health Counselor Bay St. Louis, MS NPI 1942043567
- Sean McDaniel, PCMHTMental Health Counselor Bay St. Louis, MS NPI 1417790932
About NPI 1124520549
Gulf Coast Mental Health Center's National Provider Identifier is 1124520549, issued on Mar 1, 2018. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Bay St. Louis, MS. The record was last updated on Mar 1, 2018.