PEBBLES M KING BS
NPI 1619067345
Counselor - Addiction (Substance Use Disorder) in Gautier, MS

Active since October 13, 2006
3407 SHAMROCK COURT, GAUTIER, MS 39553(228) 497-0690(228) 497-1363 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pebbles M King Bs NPPES

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

PEBBLES M KING BS (NPI 1619067345) is an individual addiction (substance use disorder) provider in Gautier, Mississippi and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1619067345
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NamePEBBLES M KINGCredential: BS
Location Address3407 SHAMROCK COURTGautier, MS 39553
Mailing Address3407 Shamrock CourtGautier, MS 39553 · (228) 497-0690 · Fax (228) 497-1363
Fax(228) 497-1363
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1619067345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3407 SHAMROCK COURT, Gautier, MS 39553

Other Identifiers 1

Medicaid00018214MS

Other Providers at the Same Location NPPES 15

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

Counselor (Mental Health)
3407 SHAMROCK COURT
GAUTIER, MS 39553
Counselor (Mental Health)
3407 SHAMROCK COURT
GAUTIER, MS 39553
Counselor (Mental Health)
3407 SHAMROCK COURT
GAUTIER, MS 39553
Counselor (Mental Health)
3407 SHAMROCK COURT
GAUTIER, MS 39553
Psychologist (Intellectual and Developmental Disabilities)
3407 SHAMROCK COURT
GAUTIER, MS 39553
Social Worker
3407 SHAMROCK COURT
GAUTIER, MS 39553
Counselor (Mental Health)
3407 SHAMROCK COURT
GAUTIER, MS 39553
Registered Nurse
3407 SHAMROCK COURT
GAUTIER, MS 39553

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pebbles King's NPI number?

The NPI number for Pebbles King is 1619067345. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Pebbles King located?

Pebbles King practices at 3407 Shamrock Court, Gautier, MS 39553. The listed phone number is (228) 497-0690.

What is Pebbles King's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Pebbles King was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.