Organization
GULF COAST BEHAVIORAL HEALTH, LLC
Active
Other names
Gulf Coast Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTY STIBAL (DIRECTOR OF OPERATIONS)
(208) 821-1032
Entity
Organization
Contact information
Practice address
37283 SWAMP RD STE 803, PRAIRIEVILLE, LA 70769-3329
(225) 254-9589
(225) 208-7267
Mailing address
37283 SWAMP RD STE 803, PRAIRIEVILLE, LA 70769-3329
(225) 254-9589
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
175T00000X
Peer Specialist
—
—
225C00000X
Rehabilitation Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/09/2022
Last updated
03/31/2023
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