Organization
SERENDIPITY MPH
Active
Other names
North Bay Counseling and Behavioral Health Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY COOPER (CEO)
(228) 627-7558
Entity
Organization
Contact information
Practice address
4305 DENNY AVE, PASCAGOULA, MS 39581-5509
(228) 627-7558
(228) 762-2064
Mailing address
4305 DENNY AVE, PASCAGOULA, MS 39581-5509
(228) 627-7558
(228) 762-2064
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3974
ID
—
Enumeration date
07/14/2018
Last updated
07/14/2018
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