Gulf Coast Mental Health Services LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GULF COAST MENTAL HEALTH SERVICES LLC

Practice address

10641 Whittngton Court
Largo, FL 33773

Phone

(813) 793-7407

Fax

(313) 789-1751

NPI assigned

Jul 20, 2020

Last updated

Jul 20, 2020By 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

Dorit Morecraft, MSN, PMHNP-BC

Title

Owner

Phone

(813) 793-7407

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1265040976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 MAIN ST STE 1044",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346953551",
            "telephone_number": "813-793-7407",
            "fax_number": "313-789-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10641 WHITTNGTON COURT",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "33773",
            "telephone_number": "813-793-7407",
            "fax_number": "313-789-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "MORECRAFT",
        "authorized_official_first_name": "DORIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-793-7407",
        "authorized_official_credential": "MSN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Largo, FL
• Providers in Largo, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.