# SEACOAST PSYCHOLOCIAL ASSOCIATES, INC.

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

## Provider details

- **NPI number:** 1710107438
- **Authorized official:** GRAD LEO FLICK PH.D. (DIRECTOR)
- **Authorized official phone:** (228) 435-2673

## Contact information

- **Practice address:** 983 HOWARD AVE, BILOXI, MS 39530-3756
- **Practice address phone:** (228) 435-2673
- **Practice address fax:** (228) 435-2674
- **Mailing address:** 983 HOWARD AVE, BILOXI, MS 39530-3756
- **Mailing address phone:** (228) 435-2673
- **Mailing address fax:** (228) 435-2674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | 26352 | MS | — |
| 1041C0700X | Clinical Social Worker | C0914 | MS | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00017976 | — | MS |
