SAFE HARBOR CLINIC LLC – NPI #1609352384
Psychiatry & Neurology

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

SAFE HARBOR CLINIC LLC is a psychiatry & neurologist located in LONG BEACH, MS. NPPES has assigned the NPI number 1609352384 to SAFE HARBOR CLINIC LLC on July 16, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084P0800X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Psychiatry

The NPI profile was previously updated about 8 years ago on Aug 30, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAFE HARBOR CLINIC LLC below.

NPI Profile for
SAFE HARBOR CLINIC LLC

NPI Number
1609352384
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAFE HARBOR CLINIC LLC
Primary location
4013 BEATLINE RD STE A
LONG BEACH, MS 39560
Phone: (228) 200-0720 Fax: (228) 200-0383
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DUSTIN MARMALICH
OWNER
Phone: (228) 200-0720
Updated
Identifiers

Identifiers for SAFE HARBOR CLINIC LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMS04334707
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0800X
- Psychiatry & Neurology / Psychiatry (Primary)
MS 25543
1041C0700X
- Social Worker / Clinical
MS C9311

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.