Ocean Breeze Counseling, LLC
Counselor, Mental Health in Indialantic, FL. Organization (NPI-2).
NPI number1164085197
StatusActive
Last updated in NPPESJun 7, 2021
Details
- NPI
- 1164085197
- Entity type
- Organization (NPI-2)
- Legal business name
- Ocean Breeze Counseling, LLC
- Organization subpart
- No
- Enumeration date
- Apr 16, 2019
- Certification date
- Jun 7, 2021
- Last updated
- Jun 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
202 4th AveIndialantic, FL 32903-3114
Phone 321-626-7122
Mailing address
202 4th AveIndialantic, FL 32903-3114
Phone 321-626-7122
Authorized official
Jeanne Lano
Co-Owner
3216267122
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