# SEASIDE PSYCHOTHERAPY GULF COAST

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265088306
- **Authorized official:** ASHLEY P PEARSON LCSW (OWNER)
- **Authorized official phone:** (504) 319-2837

## Contact information

- **Practice address:** 2113 GOVERNMENT ST STE I-2E, OCEAN SPRINGS, MS 39564-3954
- **Practice address phone:** (228) 222-8006
- **Mailing address:** 3818 CHAUMONT CIR, OCEAN SPRINGS, MS 39564-8539
- **Mailing address phone:** (504) 319-2837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 08/14/2019
- **Last updated:** 09/15/2019