Provider Demographics
NPI:1043486079
Name:OCEAN SUN COUNSELING CENTER
Entity type:Organization
Organization Name:OCEAN SUN COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:MCKINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-556-4541
Mailing Address - Street 1:74 HOSPITALITY ST
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-2696
Mailing Address - Country:US
Mailing Address - Phone:843-216-6857
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:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC16823101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty