Individual
PAGE LEIGH PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CTMH
Contact information
Practice address
15465 OAK LN STE 100F, GULFPORT, MS 39503-2663
(228) 206-1824
(228) 288-0208
Mailing address
15465 OAK LN STE 100F, GULFPORT, MS 39503-2663
(228) 206-1824
(228) 288-0208
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7850
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200026868
—
MS
Enumeration date
11/28/2017
Last updated
08/05/2026
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