Organization
ADVANCED PSYCHOTHERAPY AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA CHANEY (BILLING MANAGER)
(228) 456-3777
Entity
Organization
Contact information
Practice address
8933C LORRAINE RD, GULFPORT, MS 39503-4176
(228) 897-7730
(228) 575-0886
Mailing address
8933C LORRAINE RD, GULFPORT, MS 39503-4176
(228) 897-7730
(228) 575-0886
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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