BEACON BEHAVIORAL HEALTH GULF COAST INC NPI 1851359780

NPI Information

BEACON BEHAVIORAL HEALTH GULF COAST INC is a mental health (including community mental health center) clinic center in Biloxi, MS. BEACON BEHAVIORAL HEALTH GULF COAST INC NPI is 1851359780. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Synergy Behavioral Health Gulf Coast Inc.

The provider's business location address is:

12450 SHORTCUT ROAD
SUITE E
BILOXI, MS
ZIP 39532
Phone: (228) 392-3240
Fax: (228) 392-4957

The provider's authorized official is Earl J Wilde .
The authorized official title is Chairman Of The Board and has the following contact phone number (225) 810-4040.

The enumeration date for this NPI number is 5/2/2006 and was last updated on 8/22/2020.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.