Provider Demographics
NPI:1396200440
Name:OCEANSIDE COUNSELING
Entity Type:Organization
Organization Name:OCEANSIDE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARROW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-358-5081
Mailing Address - Street 1:759 SW FEDERAL HWY STE 200B
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-2972
Mailing Address - Country:US
Mailing Address - Phone:561-358-5081
Mailing Address - Fax:
Practice Address - Street 1:759 SW FEDERAL HWY STE 200B
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2972
Practice Address - Country:US
Practice Address - Phone:561-358-5081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-04
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty