Gulf Coast Play Therapy Clinic, Llc

LBN: Gulf Coast Play Therapy Clinic, Llc
Gulf Coast Play Therapy Clinic, Llc is an health care organization with primary practice located at 370 Courthouse Rd Ste 102 , Gulfport MS 39507-1889. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Gulf Coast Play Therapy Clinic, Llc can be contacted via phone (228) 224-2258, or through White, Infanta Chantel via phone (228) 697-7280.

Contact Information

Primary practice address
370 Courthouse Rd Ste 102 Gulfport MS 39507-1889
Phone: (228) 224-2258
Fax: (228) 896-1155
Website:
Map and Directions
Authorized official contact:
Name: White, Infanta Chantel ED.S., LPC, NCC, RPT
Phone: (228) 697-7280

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 2104 Mississippi

Profile Details

NPI number 1225560410
LBN Legal business name Gulf Coast Play Therapy Clinic, Llc
DBA Doing business as
Authorized official White, Infanta Chantel ED.S., LPC, NCC, RPT
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2017
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225560410 NPPES
Mississippi MEDICAID 1427580612
Mississippi MEDICAID 1225560410

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