MEDICARE: TRAUMA RECOVERY SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1982426847
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRAUMA RECOVERY SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	2112 BIENVILLE BLVD STE C1
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-3015
Country	:	US
Telephone Number	:	228-300-9909
Fax Number	:

Provider Business Practice Location Address
First Line	:	2112 BIENVILLE BLVD STE C1
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-3015
Country	:	US
Telephone Number	:	228-300-9909
Fax Number	:

Authorized Official
Title or Position	:	OWNER, TRAUMA PSYCHOLOGIST
Name	:	DR. CHRISTOPHER MICHAEL PEREZ
Credential	:	PH.D.
Telephone Number	:	228-300-9909

Provider Enumeration Date	:	10/30/2024
Last Update Date	:	10/30/2024

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