NPI 1225560410

Gulf Coast Play Therapy Clinic, LLC

Organisation Community/Behavioral Health Agency Gulfport, MS

Practice location

Address: 370 Courthouse Rd STE 102, Gulfport, MS 39507-1889
Phone: (228) 224-2258
Fax: (228) 896-1155

Authorised official

Name: Infanta Chantel White
Title: Owner
Phone: (228) 697-7280

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 2104 (MS)

Other Community/Behavioral Health providers in Mississippi →

Registry record

NPI: 1225560410
Entity type: Organization
NPI issued: 28 Mar 2017
Record last updated: 21 Jul 2022

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.