Belinda Harrell Holden Aprn-BC LLC

Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Gulfport, MS

NPI 1902498124 · NPPES record last updated Feb 9, 2021

Key facts

NPI
1902498124
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Legal business name
BELINDA HARRELL HOLDEN APRN-BC LLC
Practice address
8990 Lorraine Rd
Gulfport, MS 39503-4176
Phone
(228) 331-3310
Fax
(228) 284-1608
NPI assigned
Feb 9, 2021
Organization subpart
No

Authorized official

Name
Belinda Harrell Holden, APRN-BC
Title
Owner
Phone
(601) 916-7131

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20210325001263 MS Part B Supplier - Clinic/Group Practice 5799192431 Receives reassigned benefits from 1 practitioner
Practice locations: Gulfport, MS

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LP0808X Yes

Addresses

Primary practice location

8990 Lorraine Rd
Gulfport, MS 39503-4176

Mailing address

8990 Lorraine Rd
Gulfport, MS 39503-4176
Phone (228) 331-3310

Other providers in Gulfport, MS

All providers in Gulfport, MS · Psychiatric/Mental Health Nurse Practitioner in Mississippi

Sources for this page

Verify at the official NPI Registry.