NPI 1124602719

Blue Harbor Counseling Services, L.L.C.

Organisation Community/Behavioral Health Agency Gulfport, MS

Practice location

Address: 1617 25th Ave # 203, Gulfport, MS 39501-2834
Phone: (228) 255-8553
Mailing address: PO Box 7707, Diberville, MS 39540-7602

Authorised official

Name: Vicki Arlene Blaize
Title: Owner
Phone: (228) 325-5855

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Mississippi →

Registry record

NPI: 1124602719
Entity type: Organization
NPI issued: 10 May 2021
Record last updated: 25 Jan 2023

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.