Organization
SEACOAST PSYCHOLOCIAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRAD LEO FLICK PH.D. (DIRECTOR)
(228) 435-2673
Entity
Organization
Contact information
Practice address
983 HOWARD AVE, BILOXI, MS 39530-3756
(228) 435-2673
(228) 435-2674
Mailing address
983 HOWARD AVE, BILOXI, MS 39530-3756
(228) 435-2673
(228) 435-2674
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
26352
MS
1041C0700X
Clinical Social Worker
Primary
C0914
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00017976
—
MS
Enumeration date
04/26/2007
Last updated
09/11/2025
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