# BIENVILLE THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BIENVILLE ORTHOPAEDIC SPECIALISTS LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477319051
- **Legal business name:** BIENVILLE ORTHOPAEDIC SPECIALISTS LLC
- **Authorized official:** LEE BOND (CEO)
- **Authorized official phone:** (228) 230-2663

## Contact information

- **Practice address:** 15476 DEDEAUX RD STE A, GULFPORT, MS 39503-2637
- **Practice address phone:** (228) 230-2663
- **Mailing address:** 6300 E LAKE BLVD STE 301, VANCLEAVE, MS 39565-6771
- **Mailing address phone:** (228) 230-2663
- **Mailing address fax:** (228) 206-6398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 02/22/2024
- **Last updated:** 06/03/2025