| Oceanvista Counseling Associates | |
|
1275 W Granada Blvd Ste 6a Ormond Beach FL 32174-8105 | |
| (386) 449-8600 | |
| (833) 559-1151 |
| Full Name | Oceanvista Counseling Associates |
|---|---|
| Speciality | Clinic/Center |
| Location | 1275 W Granada Blvd Ste 6a, Ormond Beach, Florida |
| Authorized Official Name and Position | Sarah Allen (MANAGING MEMBER) |
| Authorized Official Contact | 3865694084 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oceanvista Counseling Associates 1275 W Granada Blvd Ste 6a Ormond Beach FL 32174-8105 Ph: (386) 449-8600 | Oceanvista Counseling Associates 1275 W Granada Blvd Ste 6a Ormond Beach FL 32174-8105 Ph: (386) 449-8600 |
| NPI Number | 1912588039 |
|---|---|
| Provider Enumeration Date | 04/20/2021 |
| Last Update Date | 07/14/2023 |
| Certification Date | 07/14/2023 |
| Medicare PECOS PAC ID | 2668855644 |
|---|---|
| Medicare Enrollment ID | O20220824002061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912588039 | NPI | - | NPPES |
| 1952921652 | Other | INDIVIDUAL NPI |
| Provider Name | Carrie L Oliver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871646125 PECOS PAC ID: 6709004674 Enrollment ID: I20140908000310 |
| Provider Name | Kathleen Coughlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396759874 PECOS PAC ID: 0840360384 Enrollment ID: I20180502002844 |
| Provider Name | Christine Ann Renuart-rapa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790070928 PECOS PAC ID: 6800106964 Enrollment ID: I20220901001033 |
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