Provider Demographics
NPI:1093857518
Name:OCEAN COUNSELING & FAMILY CENTER, PA
Entity Type:Organization
Organization Name:OCEAN COUNSELING & FAMILY CENTER, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TRULAND
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:609-693-5777
Mailing Address - Street 1:620 LACEY RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:FORKED RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08731-2244
Mailing Address - Country:US
Mailing Address - Phone:609-693-5777
Mailing Address - Fax:609-693-5887
Practice Address - Street 1:620 LACEY RD
Practice Address - Street 2:SUITE 5
Practice Address - City:FORKED RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08731-2244
Practice Address - Country:US
Practice Address - Phone:609-693-5777
Practice Address - Fax:609-693-5887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty