Gulf Coast Industries

Mental Retardation & Developmental Disabilities - Psychology Clinic

1110 42nd Ave, Gulfport
    Mississippi, 39501-2663

 228-868-2072    228-868-2091 Maps & Directions
Gulf Coast Industries is a Mental Retardation & Developmental Disabilities - Psychology Clinic in Gulfport, Mississippi. This organization is also known as sub part of Gulf Coast Mental Health Center. It is located at 1110 42nd Ave, Gulfport, MS and its contact number is 228-868-2072. The authorized person for Gulf Coast Industries is Mr. Thomas Pritchard who is C F O of the clinic and his/her contact number is 228-863-1132. The primary license number for Gulf Coast Industries is REG13-PVS-WAC-01 (Mental Retardation & Developmental Disabilities) in Mississippi.
Gulf Coast Industries Clinic
Complete Clinic Profile:
Gulf Coast Industries Clinic speciality, address, contact phone number and fax are as below. Patients can call on the below given phone number for appointments.
Name: Gulf Coast Industries
Specialization: Mental Retardation & Developmental Disabilities Psychology
Clinic Address:1110 42nd Ave, Gulfport,
Mississippi, 39501-2663
Phone:228-868-2072
Fax:228-868-2091
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name: Mr. Thomas Pritchard
Position: C F O
Contact Number: 228-863-1132
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Gulf Coast Industries clinic are as mentioned below.
NPI Number: 1598127771
Parent Organization: Gulf Coast Mental Health Center
NPI Enumeration Date: 25 Mar, 2016
NPI Last Update On: 25 Mar, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gulf Coast Industries are as mentioned below.
SpecializationLicense NumberStateStatus
Mental Retardation & Developmental Disabilities REG13-PVS-WAC-01MississippiPrimary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
00770456MedicaidMississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Gulf Coast Industries
1600 Broad Ave,
Gulfport, Mississippi
Zip: 39501-3603
Phone Number: 228-863-1132
Fax Number: 228-865-1700
Patients can reach Gulf Coast Industries at 1110 42nd Ave, Gulfport, Mississippi or can call to book an appointment on 228-868-2072.
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.

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