GULF COAST MENTAL HEALTH CENTER – NPI #1124520549
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

GULF COAST MENTAL HEALTH CENTER is a community based residential treatment facility located in BAY SAINT LOUIS, MS. NPPES has assigned the NPI number 1124520549 to GULF COAST MENTAL HEALTH CENTER on March 01, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

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 GULF COAST MENTAL HEALTH CENTER below.

NPI Profile for
GULF COAST MENTAL HEALTH CENTER

NPI Number
1124520549
Enumeration Date

(more than 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
GULF COAST MENTAL HEALTH CENTER
Primary location
819B CENTRAL AVE
BAY SAINT LOUIS, MS 39520-3913
Phone: (228) 467-1881 Fax: (228) 865-1700
Mailing address
1600 BROAD AVE
GULFPORT, MS 39501-3603
Phone: (228) 863-1132 Fax: (228) 865-1700
Organization Subpart
No
Authorized Official
MANDY MCDONALD
BILLING SUPERVISOR
Phone: (228) 863-1132
Updated
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
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
MS M9097

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.