Cooper, George Steven

Cooper, George Steven is an individual health care provider with primary practice located at 1600 Broad Ave , Gulfport MS 39501-3603. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Cooper, George Steven can be contacted via phone (228) 865-1700.

Contact Information

Primary practice address
1600 Broad Ave Gulfport MS 39501-3603
Phone: (228) 865-1700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X M6958 Mississippi
Behavioral Health & Social Service Providers / Social Worker 104100000X C6958 Mississippi

Profile Details

NPI number 1760741326
LBN Legal business name Cooper, George Steven
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2012
Last updated Jun 11th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760741326 NPPES
Mississippi MEDICAID 00018213

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