Provider Demographics
NPI:1851840078
Name:GULF COAST EDUCATION SOLUTIONS, LLC
Entity Type:Organization
Organization Name:GULF COAST EDUCATION SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:BILLI
Authorized Official - Middle Name:
Authorized Official - Last Name:SUMRALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:228-806-0616
Mailing Address - Street 1:23272 HWY 49 FRONTAGE RD
Mailing Address - Street 2:
Mailing Address - City:SAUCIER
Mailing Address - State:MS
Mailing Address - Zip Code:39574-6047
Mailing Address - Country:US
Mailing Address - Phone:228-806-0616
Mailing Address - Fax:
Practice Address - Street 1:23272 HWY 49 FRONTAGE RD.
Practice Address - Street 2:C
Practice Address - City:SAUCIER
Practice Address - State:MS
Practice Address - Zip Code:39574
Practice Address - Country:US
Practice Address - Phone:228-806-0616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-29
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS2230235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty