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GULF COAST MENTAL HEALTH CENTER
NPI 1649773540
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Gulfport, MS

Active since March 16, 2018
1600 BROAD AVENUE, GULFPORT, MS 39501(228) 863-1132(228) 865-1700 Get Directions Write a Review

NPPES record last updated: March 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gulf Coast Mental Health Center NPPES

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

GULF COAST MENTAL HEALTH CENTER (NPI 1649773540) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Gulfport, Mississippi and active in the NPI registry since March 2018. The organization lists Mandy Jo Mcdonald, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1649773540
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameGULF COAST MENTAL HEALTH CENTER
Location Address1600 BROAD AVENUEGulfport, MS 39501-3603
Mailing Address1600 Broad AvenueGulfport, MS 39501-3603 · (228) 863-1132 · Fax (228) 865-1700
Phone(228) 863-1132
Fax(228) 865-1700
Organization SubpartNo
Authorized OfficialMandy Jo McdonaldBilling Supervisor · (228) 863-1132
Enumeration DateMarch 16, 2018
✔ NPI 1649773540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in MS · M8858
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
1600 BROAD AVENUE, Gulfport, MS 39501
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Other Providers at the Same Location NPPES 4

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

MS. DEBRA LYNNE DEAS LMSW
Social Worker
1600 BROAD AVENUE
GULFPORT, MS 39501
Harrison County (228) 863-1132
GULF COAST MENTAL HEALTH CENTER
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1600 BROAD AVENUE
GULFPORT, MS 39501
Harrison County (228) 869-1132
GULF COAST MENTAL HEALTH CENTER
Physical Therapist (Sports)
1600 BROAD AVENUE
GULFPORT, MS 39501
Harrison County (228) 863-1132
GULF COAST MENTAL HEALTH CENTER
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1600 BROAD AVENUE
GULFPORT, MS 39501
Harrison County (228) 869-1132

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 Gulf Coast Mental Health Center's NPI number?

The NPI number for Gulf Coast Mental Health Center is 1649773540. It was assigned to this organization in the NPPES registry on March 16, 2018.

Where is Gulf Coast Mental Health Center located?

Gulf Coast Mental Health Center is located at 1600 Broad Avenue, Gulfport, MS 39501. The listed phone number is (228) 863-1132.

What is Gulf Coast Mental Health Center's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Gulf Coast Mental Health Center was last updated on March 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.