# SERENITY COAST COUNSELING LLC

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

## Provider details

- **NPI number:** 1437691060
- **Authorized official:** HOLLY REGAN (PRESIDENT)
- **Authorized official phone:** (228) 334-5233

## Contact information

- **Practice address:** 12320 ASHLEY DR, SUITE D, GULFPORT, MS 39503-2550
- **Practice address phone:** (228) 334-5233
- **Mailing address:** 12320 ASHLEY DR, SUITE D, GULFPORT, MS 39503-2550
- **Mailing address phone:** (228) 334-5233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | C7870 | MS | Yes |

## Other

- **Enumeration date:** 11/14/2016
- **Last updated:** 11/14/2016