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GULF COAST INDUSTRIES
NPI 1861715773
Psychologist - Intellectual and Developmental Disabilities in Gulfport, MS

Active since March 05, 2010
1600 BROAD AVE, GULFPORT, MS 39501(228) 863-1132(228) 865-1700 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gulf Coast Industries NPPES

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

GULF COAST INDUSTRIES (NPI 1861715773) is a healthcare organization registered as an intellectual and developmental disabilities in Gulfport, Mississippi and active in the NPI registry since March 2010. The organization lists Debora J Stanovich, Credentials Specialist, as its authorized official.

NPPES Registry Identity

NPI1861715773
Entity TypeOrganization
Primary Taxonomy103TM1800X
Legal Business NameGULF COAST MENTAL HEALTH CENTER
Location Address1600 BROAD AVEGulfport, MS 39501-3603
Mailing Address1600 Broad AveGulfport, MS 39501-3603 · (228) 863-1132 · Fax (228) 865-1700
Phone(228) 863-1132
Fax(228) 865-1700
Organization SubpartYes
Authorized OfficialDebora J StanovichCredentials Specialist · (228) 863-1132
Enumeration DateMarch 5, 2010
Last NPPES UpdateOctober 21, 2019
✔ NPI 1861715773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Intellectual and Developmental DisabilitiesBehavioral Health & Social Service Providers
Taxonomy Code103TM1800X
License✔ Licensed in MS · R13-1
1600 BROAD AVE, Gulfport, MS 39501
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Other Names 1

Other NameGulf Coast Industries

Other Identifiers 1

Medicaid00770456MS

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 20

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

JANE W MONTGOMERY APMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 863-1132
MR. JEFFREY L BENNETT LCSW
Counselor (Professional)
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 863-1132
MARIAN P WIDEMAN M.A.
Counselor (Mental Health)
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 863-1132
MRS. JEANNINE MICHELLE FINLEY B.S
Social Worker (Clinical)
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 863-1132
MRS. AMY BASS-LONGO MS
Counselor (Mental Health)
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 863-1132
CONSTANCE EUGENIA TAYLOR MS
Counselor (Addiction (Substance Use Disorder))
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 863-1132
ROSE ANN HAGOOD LPC
Counselor (Mental Health)
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 863-1132
MS. EVANGELINE EVE VIZZINI MED,LPC
Counselor (Mental Health)
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 863-1132

Frequently Asked Questions

What is GULF COAST MENTAL HEALTH CENTER's NPI number?

The NPI number assigned to this healthcare provider is 1861715773, enumerated as an "organization" on March 05, 2010.

Where is the provider located?

The provider is located at 1600 BROAD AVE GULFPORT, MS 39501 and the phone number is (228) 863-1132.

What is the provider's specialty?

Psychologist with taxonomy code 103TM1800X and a focus in Intellectual and Developmental Disabilities.

What insurance does GULF COAST MENTAL HEALTH CENTER accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.