Organization
OCEANVISTA COUNSELING ASSOCIATES, LLC
Active
Other names
OceanVista Counseling Associates
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH ALLEN LMHC, NCC (MANAGING MEMBER)
(386) 569-4084
Entity
Organization
Contact information
Practice address
1275 W GRANADA BLVD STE 6A, ORMOND BEACH, FL 32174-8105
(386) 449-8600
(833) 559-1151
Mailing address
1275 W GRANADA BLVD STE 6A, ORMOND BEACH, FL 32174-8105
(386) 449-8600
(833) 559-1151
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952921652
INDIVIDUAL NPI
—
Enumeration date
04/20/2021
Last updated
07/14/2023
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