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: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 OLD MOBILE AVE
PASCAGOULA MS
39567-4412
US

IV. Provider business mailing address

1820 OLD MOBILE AVE
PASCAGOULA MS
39567
US

V. Phone/Fax

Practice location:
  • Phone: 251-454-4751
  • Fax: 251-202-6899
Mailing address:
  • Phone: 251-454-4751
  • Fax: 251-202-6899

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: PMHNP-BC
Phone: 251-454-4751