Provider Demographics
NPI:1336021492
Name:AMY GASPARRINI LCSW LLC
Entity type:Organization
Organization Name:AMY GASPARRINI LCSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:GASPARRINI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:228-297-8923
Mailing Address - Street 1:2536 LONGWOOD CT
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39531-2735
Mailing Address - Country:US
Mailing Address - Phone:228-297-8923
Mailing Address - Fax:
Practice Address - Street 1:8933 LORRAINE RD STE C
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39503-5494
Practice Address - Country:US
Practice Address - Phone:228-897-7730
Practice Address - Fax:228-575-0886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-21
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)