Provider Demographics
NPI:1811041601
Name:SHORE COUNSELING, LLC
Entity Type:Organization
Organization Name:SHORE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGO
Authorized Official - Middle Name:A
Authorized Official - Last Name:FERRIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:609-653-2211
Mailing Address - Street 1:505 HAMILTON AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-1057
Mailing Address - Country:US
Mailing Address - Phone:609-653-2211
Mailing Address - Fax:609-653-2332
Practice Address - Street 1:505 HAMILTON AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-1057
Practice Address - Country:US
Practice Address - Phone:609-653-2211
Practice Address - Fax:609-653-2332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00047400101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty