Provider Demographics
NPI:1225894256
Name:GULF COAST THERAPY ASSOCIATES
Entity Type:Organization
Organization Name:GULF COAST THERAPY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MYISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARSHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-881-7605
Mailing Address - Street 1:296 BEAUVOIR RD STE 1043
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39531-4051
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2963 JULIETTE DR
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-5542
Practice Address - Country:US
Practice Address - Phone:402-881-7605
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty