# GULF COAST FAMILY COUNSELING AGENCY

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

## Provider details

- **NPI number:** 1629293691
- **Authorized official:** MS. LAURA TRACY-KINSEY LCSW (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (228) 875-6113

## Contact information

- **Practice address:** 509 JACKSON AVE, OCEAN SPRINGS, MS 39564-4619
- **Practice address phone:** (228) 875-6113
- **Practice address fax:** (228) 875-6113
- **Mailing address:** PO BOX 1073, OCEAN SPRINGS, MS 39566-1073
- **Mailing address phone:** (228) 875-6113
- **Mailing address fax:** (228) 875-6113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 04/16/2007
- **Last updated:** 08/26/2024