Provider Demographics
NPI:1073221057
Name:OCEANSIDE COUNSELING & SUPERVISION SERVICES
Entity Type:Organization
Organization Name:OCEANSIDE COUNSELING & SUPERVISION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEIGH
Authorized Official - Middle Name:
Authorized Official - Last Name:SEELEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-814-2792
Mailing Address - Street 1:601 WASHINGTON AVE STE J
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-2861
Mailing Address - Country:US
Mailing Address - Phone:732-814-2792
Mailing Address - Fax:
Practice Address - Street 1:334 HARBOURTOWN BLVD
Practice Address - Street 2:
Practice Address - City:LITTLE EGG HARBOR TWP
Practice Address - State:NJ
Practice Address - Zip Code:08087-3314
Practice Address - Country:US
Practice Address - Phone:732-814-2792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-09
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health