OrganizationActive
Gulf Coast Mental Health Center
NPI 1124520549 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Bay St Louis, MS
Provider details
- NPI number
- 1124520549
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mandy Mcdonald, Billing Supervisor(228) 863-1132
- License
- M9097 (MS)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense M9097 (MS)
Residential Treatment Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
819b Central Ave
Bay St Louis, MS 39520-3913
Phone: (228) 467-1881
Fax: (228) 865-1700
Street-level locationGet directions
Mailing address
1600 Broad Ave
Gulfport, MS 39501-3603
Registry dates
- Enumerated
- 2018-03-01
- Last updated
- 2018-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.