Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Community Wellness and Rehab, LLC

Organization Clinical Social Worker · NPI 1093522864

Community Wellness and Rehab, LLC provides Clinical Social Worker services in Gulfport, Mississippi. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

25911 Sandy Creek Ct
Gulfport, MS 39503-7014
Phone: (337) 853-2292
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1093522864
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terrance Skidmore — Director, Lcsw · (337) 853-2292
NPI enumeratedDecember 16, 2024
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024
Mailing address25911 Sandy Creek Ct, Gulfport, MS 39503-7014

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