NPI 1093522864

Community Wellness and Rehab, LLC

Organisation Clinical Social Worker Gulfport, MS

Practice location

Address: 25911 Sandy Creek CT, Gulfport, MS 39503-7014
Phone: (337) 853-2292

Authorised official

Name: Terrance Joseph Skidmore
Title: Director, LCSW
Phone: (337) 853-2292

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

Other Social Worker providers in Mississippi →

Registry record

NPI: 1093522864
Entity type: Organization
NPI issued: 16 Dec 2024
Record last updated: 18 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.