Safe Harbor Clinic LLC
Safe Harbor Clinic LLC is a healthcare organization registered as Psychiatry Physician in Long Beach, MS, holding Type 2 (organization) NPI 1609352384 since 2018. The authorized official on file is Dustin Marmalich, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1609352384 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Safe Harbor Clinic LLC |
| Practice address | 4013 BEATLINE RD STE A, Long Beach, MS, 39560 |
| Phone | 2282000720 |
| Fax | 2282000383 |
| Enumeration date | 2018-07-16 |
| Last updated in NPPES | 2018-08-30 |
Authorized official
| Name | Dustin Marmalich |
|---|---|
| Title | Owner |
| Phone | 2282000720 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1041C0700X | Clinical Social Worker | Secondary | C9311 | MS |
| 2084P0800X | Psychiatry Physician | Primary | 25543 | MS |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04334707 | Medicaid | MS | — |
Copy-ready billing details
Provider: Safe Harbor Clinic LLC NPI: 1609352384 Taxonomy: 2084P0800X (Psychiatry Physician) Address: 4013 BEATLINE RD STE A, Long Beach, MS, 39560
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1083673545 | Shannon Gilmer | Individual | Psychiatric/Mental Health Nurse Practitioner | Long Beach, MS |
| 1093135154 | Dustin Marmalich | Individual | Psychiatry Physician | Long Beach, MS |
| 1699242891 | Safe Harbor Clinic LLC | Organization | Psychiatry Physician | Long Beach, MS |
| 1134844004 | Daniel Peters | Individual | Psychiatric/Mental Health Nurse Practitioner | Long Beach, MS |
| 1346081346 | Pamela Libys | Individual | Clinical Social Worker | Long Beach, MS |
| 1386489201 | Judith Olson | Individual | Psychiatric/Mental Health Nurse Practitioner | Long Beach, MS |
Verify this record
Cross-check NPI 1609352384 against the authoritative CMS record: view Safe Harbor Clinic LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Safe Harbor Clinic LLC?
Who is the authorized official for Safe Harbor Clinic LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-08-30.