Healthcare Provider Details

I. General information

NPI: 1952099046
Provider Name (Legal Business Name): OCEAN SANDS COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2023
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 SILVER SPRING ST
DALLAS GA
30157-8287
US

IV. Provider business mailing address

411 SILVER SPRING ST
DALLAS GA
30157-8287
US

V. Phone/Fax

Practice location:
  • Phone: 718-974-9341
  • Fax:
Mailing address:
  • Phone: 718-974-9341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MELISSA MONIQUE LAWRENCE
Title or Position: MANAGING MEMBER/CEO
Credential: LPC, LMHC, RPT
Phone: 718-974-9341