Blue Harbor Counseling Services, L.L.C.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BLUE HARBOR COUNSELING SERVICES, L.L.C.

Practice address

1617 25TH Ave # 203
Gulfport, MS 39501-2834

Phone

(228) 255-8553

NPI assigned

May 10, 2021

Last updated

Jan 25, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vicki Arlene Blaize, LCSWNPI 1134731102

Title

Owner

Phone

(228) 325-5855

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vicki Arlene Blaize, LCSW

  • Clinical Social Worker
  • Gulfport, MS
  • NPI 1134731102
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1124602719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7707",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395407602",
            "telephone_number": "228-325-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 25TH AVE # 203",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012834",
            "telephone_number": "228-255-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HARBOR COUNSELING SERVICES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "BLAIZE",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "ARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-325-5855",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Blanks, M.D.
• Ashley Blappert
• Bruce Thompson Bleil, D.M.D.
• Michelle M Bliss, CRNA
• Bloom Psychological Services, LLC
• Bluemedllc
• Michael Alexander Boartfield
• Rylee Bobinger
• Boles LLC
• Nathan D Boles, MD

• Community/Behavioral Health Agency in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Community/Behavioral Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.