Provider Demographics
NPI:1528448768
Name:OCEANO COUNSELING LLC
Entity type:Organization
Organization Name:OCEANO COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL SOCIALWORKER
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:SOJKA
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-CP
Authorized Official - Phone:843-360-0053
Mailing Address - Street 1:1016 2ND AVE N STE 206F
Mailing Address - Street 2:
Mailing Address - City:NORTH MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29582-8209
Mailing Address - Country:US
Mailing Address - Phone:843-360-0053
Mailing Address - Fax:410-893-5227
Practice Address - Street 1:1016 2ND AVE N STE 206F
Practice Address - Street 2:
Practice Address - City:NORTH MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29582-8209
Practice Address - Country:US
Practice Address - Phone:843-360-0053
Practice Address - Fax:410-893-5227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-03
Last Update Date:2020-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty