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Organization
SERENITY COAST COUNSELING LLC
Active
Organization
SERENITY COAST COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY REGAN (PRESIDENT)
(228) 334-5233
Entity
Organization
Contact information
Practice address
12320 ASHLEY DR, SUITE D, GULFPORT, MS 39503-2550
(228) 334-5233
Mailing address
12320 ASHLEY DR, SUITE D, GULFPORT, MS 39503-2550
(228) 334-5233
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7870
MS
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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