Healthcare Provider Details

I. General information

NPI: 1568280717
Provider Name (Legal Business Name): ABSOLUTELY RATIONAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2024
Last Update Date: 09/27/2024
Certification Date: 09/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 DEBUYS RD
BILOXI MS
39531-4402
US

IV. Provider business mailing address

12580 HWY 90 #1
GRAND BAY AL
36541
US

V. Phone/Fax

Practice location:
  • Phone: 228-388-0600
  • Fax:
Mailing address:
  • Phone: 251-454-4751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TINA CRANE
Title or Position: OWNER
Credential: NP
Phone: 228-865-1330