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General NPI Number Information
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NPI Number | 1336021492
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Entity Type | Organization
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Legal Business Name | AMY GASPARRINI LCSW LLC
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 8933 LORRAINE RD STE C
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City | GULFPORT
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State | MS
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Zip | 39503-5494
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Country | US
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Telephone | 228-897-7730
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Fax | 228-575-0886
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Provider Business Mailing Address
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Address Line | 2536 LONGWOOD CT
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City | BILOXI
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State | MS
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Zip | 39531-2735
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Country | US
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Telephone | 228-297-8923
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMY GASPARRINI
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Credential | LCSW
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Telephone | 228-297-8923
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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