Healthcare Provider Details

I. General information

NPI: 1366378911
Provider Name (Legal Business Name): ASHLEY MARIE GUTSHALL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 MARSHALL RD
BILOXI MS
39531-4747
US

IV. Provider business mailing address

4007B BLUE HERON WAY
GULFPORT MS
39501-2813
US

V. Phone/Fax

Practice location:
  • Phone: 228-300-6586
  • Fax:
Mailing address:
  • Phone: 228-300-6586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: