National Provider Identifier Database

GULF COAST MENTAL HEALTH CENTER
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities


Contact Information

GULF COAST MENTAL HEALTH CENTER
15094 COUNTY BARN ROAD
GULFPORT, MS39503
Phone: 228-863-0091
Fax: 228-864-2241
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X

* Indicates primary specialty

NPI Profile & details for GULF COAST MENTAL HEALTH CENTER

NPI Number 1083101216
Legal business name
LBN
GULF COAST MENTAL HEALTH CENTER
Authorized official MANDY MCDONALD - (BILLING SUPERVISOR)
Entity Organization
Organization subpart No
Enumeration date 04/13/2018
Last updated 04/13/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: M8723

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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