PHOENIX BEHAVIORAL HEALTH CENTER, PLLC

OCEAN SPRINGS, MS
NPI1093366775
Entity TypeOrganization
Authorized ContactKATHRYN KIM WAGGONER
CEO
228-819-2171
Organization Subpart ?No
Primary Taxonomy103TH0004X Psychologist, Health
Additional Taxonomies101Y00000X Counselor
101YM0800X Counselor, Mental Health
101YP2500X Counselor, Professional
103T00000X Psychologist
103TC0700X Psychologist, Clinical
Enumeration Date2019-09-24
Last Update Date2024-06-10
Business Address
PHOENIX BEHAVIORAL HEALTH CENTER, PLLC
2112 BIENVILLE BLVD STE K
OCEAN SPRINGS, MS 39564-3067
Phone number: 228-819-2171
Mailing Address
PHOENIX BEHAVIORAL HEALTH CENTER, PLLC
2112 BIENVILLE BLVD STE K
OCEAN SPRINGS, MS 39564-3067
Phone number: 228-819-2171