Provider Demographics
NPI:1518769322
Name:SRF OCEAN COAST COUNSELING, LLC.
Entity type:Organization
Organization Name:SRF OCEAN COAST COUNSELING, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUMMER
Authorized Official - Middle Name:RAIN
Authorized Official - Last Name:FALL
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MLADC
Authorized Official - Phone:603-264-1977
Mailing Address - Street 1:28 E RIDGE DR APT 2
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03055-5120
Mailing Address - Country:US
Mailing Address - Phone:603-264-1977
Mailing Address - Fax:603-704-3426
Practice Address - Street 1:28 E RIDGE DR APT 2
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:NH
Practice Address - Zip Code:03055
Practice Address - Country:US
Practice Address - Phone:603-264-1977
Practice Address - Fax:603-704-3426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty