SAFE HARBOR CLINIC LLC NPI 1699242891

NPI Information

  • NPI: 1699242891
  • Provider Name: SAFE HARBOR CLINIC LLC
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • CLIA Number: 25D2150429
  • Address: 4013 BEATLINE RD STE A
    LONG BEACH, MS
    ZIP 39560
  • Phone: (228) 200-0720

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NPI Details

SAFE HARBOR CLINIC LLC is a psychiatry psychiatry neurology in Long Beach, MS. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. SAFE HARBOR CLINIC LLC NPI is 1699242891. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4013 BEATLINE RD STE A
LONG BEACH, MS
ZIP 39560-135
Phone: (228) 200-0720

The provider's authorized official is Dustin Marmalich .
The authorized official title is Owner and has the following contact phone number (228) 424-4425.

The CLIA number assigned to this NPI record is 25D2150429 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2018 and was last updated on 10/26/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2261QM1300XClinic/CenterMulti-SpecialtyNo
32084P0800XPsychiatry & NeurologyPsychiatryYes

What is NPI?

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This page was last updated on: 11/21/2025

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