Organization
MENTAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESTELLE LACOSTE ROBINSON PH.D., L.P.C. (SOLE PROPRIETOR)
(228) 563-3879
Entity
Organization
Contact information
Practice address
1455 E PASS RD, B, GULFPORT, MS 39507-3523
(228) 563-3879
(228) 864-6979
Mailing address
1455 E PASS RD, B, GULFPORT, MS 39507-3523
(228) 563-3879
(228) 864-6979
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1715
MS
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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