Organization
SERENDIPITY MPH
Active
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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