Serenity Coast Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C7870 Issued in MS

Legal business name

SERENITY COAST COUNSELING LLC

Practice address

12320 Ashley Dr
Suite D
Gulfport, MS 39503-2550

Phone

(228) 334-5233

NPI assigned

Nov 14, 2016

Last updated

Nov 14, 2016By 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

Holly ReganNPI 1962895664

Title

President

Phone

(228) 334-5233

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.

• Holly Regan

  • Social Worker
  • Gulfport, MS
  • NPI 1962895664
  Authorized official Same address or phone

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1437691060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12320 ASHLEY DR",
            "address_2": "SUITE D",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032550",
            "telephone_number": "228-334-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12320 ASHLEY DR",
            "address_2": "SUITE D",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032550",
            "telephone_number": "228-334-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY COAST COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "REGAN",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "228-334-5233"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C7870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Select Specialty Hospital - Gulf Coast Inc (Select Specialty Hospital - Gulf Coast)
• Self Help Yourself Counseling and Therapy
• Luis Angel Selles Ramos, MD
• Alycia Sellier
• Senior Care Management, LLC
• Serenity Wellness and Recovery LLC
• Kristin Sessums, MS, RD, LD
• Ramakrishna Rao Settipalli, M.D.
• Sharon M Settle, LCSW
• Judy Sevillano

• Clinical Social Worker in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.