Premier Professional Counseling Services, Llc

LBN: Premier Professional Counseling Services, Llc
Premier Professional Counseling Services, Llc is an health care organization with primary practice located at 1390 29Th Ave Ste B , Gulfport MS 39501-1945. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Premier Professional Counseling Services, Llc can be contacted via phone (228) 220-4226, or through Gavin-Lane, Jocelyn via phone (228) 220-4226.

Contact Information

Primary practice address
1390 29Th Ave Ste B Gulfport MS 39501-1945
Phone: (228) 220-4226
Fax: (228) 220-4303
Website:
Map and Directions
Authorized official contact:
Name: Gavin-Lane, Jocelyn LCSW, MPH
Phone: (228) 220-4226

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C6462 Mississippi

Profile Details

NPI number 1750878781
LBN Legal business name Premier Professional Counseling Services, Llc
DBA Doing business as
Authorized official Gavin-Lane, Jocelyn LCSW, MPH
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2018
Last updated Apr 16th, 2018 - about 6 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 1750878781 NPPES
Mississippi MEDICAID 05525369

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