Provider Demographics
NPI:1104048917
Name:OCEAN SUN COUNSELING CENTER, INC.
Entity type:Organization
Organization Name:OCEAN SUN COUNSELING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MED LPC NCC RPT
Authorized Official - Phone:843-556-4541
Mailing Address - Street 1:815 SAVANNAH HWY
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-7349
Mailing Address - Country:US
Mailing Address - Phone:843-556-4541
Mailing Address - Fax:843-556-1599
Practice Address - Street 1:815 SAVANNAH HWY
Practice Address - Street 2:SUITE 202
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-7349
Practice Address - Country:US
Practice Address - Phone:843-556-4541
Practice Address - Fax:843-556-1599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3008101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty