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Organization
GRAYSTONE GROUP LLC
Active
Organization
GRAYSTONE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES PINKSTON II LCSW (CLINICIAN AND PARTNER)
(228) 669-6278
Entity
Organization
Contact information
Practice address
2218 18TH ST STE B, GULFPORT, MS 39501-2911
(401) 300-4729
Mailing address
2218 18TH ST STE B, GULFPORT, MS 39501-2911
(401) 300-4729
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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