Organization
SEASIDE PSYCHOTHERAPY GULF COAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY P PEARSON LCSW (OWNER)
(504) 319-2837
Entity
Organization
Contact information
Practice address
2113 GOVERNMENT ST STE I-2E, OCEAN SPRINGS, MS 39564-3954
(228) 222-8006
Mailing address
3818 CHAUMONT CIR, OCEAN SPRINGS, MS 39564-8539
(504) 319-2837
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
09/15/2019
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