Organization
BLUE HARBOR COUNSELING SERVICES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI ARLENE BLAIZE LCSW (OWNER)
(228) 325-5855
Entity
Organization
Contact information
Practice address
1617 25TH AVE # 203, GULFPORT, MS 39501-2834
(228) 255-8553
Mailing address
PO BOX 7707, DIBERVILLE, MS 39540-7602
(228) 325-5855
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
01/25/2023
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