Organization
CATALYST COUNSELING AND THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHIRA WINDSOR LCSW (CEO)
(858) 926-9366
Entity
Organization
Contact information
Practice address
1520 29TH AVE STE 33, GULFPORT, MS 39501-2843
(858) 926-9366
Mailing address
10423 CHAPELWOOD DR, GULFPORT, MS 39503-8095
(858) 926-9366
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02489806
—
MS
Enumeration date
04/01/2019
Last updated
05/14/2019
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