Provider Demographics
NPI:1164550398
Name:CHRISTIAN COUNSELING CENTER OF OCEAN COUNTY, INC.
Entity Type:Organization
Organization Name:CHRISTIAN COUNSELING CENTER OF OCEAN COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:SWEDBEG
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:732-244-3311
Mailing Address - Street 1:1253 INDIAN HILL RD
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-2861
Mailing Address - Country:US
Mailing Address - Phone:732-244-3311
Mailing Address - Fax:
Practice Address - Street 1:220 COMMONS WAY
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-6427
Practice Address - Country:US
Practice Address - Phone:732-244-3311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC005231001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty