Phoenix Behavioral Health Center, Pllc

LBN: Phoenix Behavioral Health Center, Pllc
Phoenix Behavioral Health Center, Pllc is an health care organization with primary practice located at 2112 Bienville Blvd Ste K , Ocean Springs MS 39564-3067. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Health is the primary health care specialty. Phoenix Behavioral Health Center, Pllc can be contacted via phone (228) 819-2171, or through Waggoner, Kathryn Kim via phone (228) 819-2171.

Contact Information

Primary practice address
2112 Bienville Blvd Ste K Ocean Springs MS 39564-3067
Phone: (228) 819-2171
Fax: (228) 205-4986
Website:
Map and Directions
Authorized official contact:
Name: Waggoner, Kathryn Kim PSYD, ABPP
Phone: (228) 819-2171

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Health 103TH0004X

Profile Details

NPI number 1093366775
LBN Legal business name Phoenix Behavioral Health Center, Pllc
DBA Doing business as
Authorized official Waggoner, Kathryn Kim PSYD, ABPP
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2019
Last updated Jun 10th, 2024 - about 5 months 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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