Provider Demographics
NPI:1588102552
Name:OCEAN FRONT COUNSELING
Entity type:Organization
Organization Name:OCEAN FRONT COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:WILLEY-SPURRIER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, BCBA, LBA
Authorized Official - Phone:302-604-2424
Mailing Address - Street 1:617 FRANKLIN AVE UNIT 14
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811-1358
Mailing Address - Country:US
Mailing Address - Phone:410-973-2301
Mailing Address - Fax:
Practice Address - Street 1:617 FRANKLIN AVE UNIT 14
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811-1358
Practice Address - Country:US
Practice Address - Phone:410-973-2301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-09
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD5139603000Medicaid