Provider Demographics
NPI:1952099046
Name:OCEAN SANDS COUNSELING PLLC
Entity Type:Organization
Organization Name:OCEAN SANDS COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LMHC, RPT
Authorized Official - Phone:718-974-9341
Mailing Address - Street 1:10800 BRIGHTON BAY BLVD NE APT 6304
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33716-3494
Mailing Address - Country:US
Mailing Address - Phone:718-974-9341
Mailing Address - Fax:
Practice Address - Street 1:10800 BRIGHTON BAY BLVD NE APT 6304
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33716-3494
Practice Address - Country:US
Practice Address - Phone:718-974-9341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-26
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty