Provider Demographics
NPI:1053582304
Name:OCEANSUN COUNSELING CENTER
Entity type:Organization
Organization Name:OCEANSUN COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:SCHURLKNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC RPT
Authorized Official - Phone:843-556-4541
Mailing Address - Street 1:815 SAVANNAH HWY STE 202
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-7351
Mailing Address - Country:US
Mailing Address - Phone:843-556-4541
Mailing Address - Fax:843-556-1599
Practice Address - Street 1:815 SAVANNAH HWY STE 202
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-7351
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:2008-03-14
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1437242534OtherREBECCA MCCRUDDEN
SC1891964946OtherDAN ROTUNDA
SC1114984721OtherJEAN SCHURLKNIGHT