OrganizationActive
Gulf Coast Mental Health Center
NPI 1417934175 · Mental Health Clinic/Center (Including Community Mental Health Center) · Gulfport, MS
Provider details
- NPI number
- 1417934175
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Jones, Cfo(228) 863-1132
- License
- REG13-SO-01 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Behavioral Health & Social Service Providers
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000XLicense R-13-1 (MS)
Residential Treatment Facilities
Practice location
1600 Broad Ave
Gulfport, MS 39501-3603
Phone: (228) 863-1132
Fax: (228) 865-1700
Approximate (ZIP-level) locationGet directions
Mailing address
1600 Broad Ave
Gulfport, MS 39501-3603
Other names (DBA / former)
- Doing business as
- Gulf Coast Mental Health Center
Registry dates
- Enumerated
- 2005-12-23
- Last updated
- 2020-09-21
- Certified
- 2020-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.