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Organization
CATALYST COUNSELING AND THERAPY SERVICES LLC
Active
Organization
CATALYST COUNSELING AND THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHIRA WINDSOR LCSW (CEO)
(858) 926-9366
Entity
Organization
Contact information
Practice address
1520 29TH AVE STE 33, GULFPORT, MS 39501-2843
(858) 926-9366
Mailing address
10423 CHAPELWOOD DR, GULFPORT, MS 39503-8095
(858) 926-9366
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02489806
—
MS
Enumeration date
04/01/2019
Last updated
05/14/2019
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