SAFE HARBOR CLINIC LLC - NPI 1609352384 - Psychiatry & Neurology in Long Beach, MS

Q: What is Safe Harbor Clinic LLC's NPI number?

The NPI number for Safe Harbor Clinic LLC is 1609352384. It was assigned to this organization in the NPPES registry on July 16, 2018.

Q: What is Safe Harbor Clinic LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

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About Safe Harbor Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAFE HARBOR CLINIC LLC (NPI 1609352384) is a healthcare organization registered as a psychiatry in Long Beach, Mississippi and active in the NPI registry since July 2018. The organization lists Dustin Marmalich, Owner, as its authorized official.

NPPES Registry Identity

NPI1609352384

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameSAFE HARBOR CLINIC LLC

Location Address4013 BEATLINE RD STE ALong Beach, MS 39560

Mailing Address4013 Beatline Rd Ste ALong Beach, MS 39560-4135 · (228) 200-0720 · Fax (228) 200-0383

Phone(228) 200-0720

Fax(228) 200-0383

Organization SubpartNo

Authorized OfficialDustin MarmalichOwner · (228) 200-0720

Enumeration DateJuly 16, 2018

Last NPPES UpdateAugust 30, 20182 updates tracked since enumeration

✔ NPI 1609352384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in MS · 25543

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License C9311 (MS)

4013 BEATLINE RD STE A, Long Beach, MS 39560

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Other Identifiers 1

Medicaid04334707MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DUSTIN MARMALICH MD

Psychiatry & Neurology (Psychiatry)