Healthcare Provider Details

I. General information

NPI: 1366208183
Provider Name (Legal Business Name): OCEAN MOTIVATION, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2024
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2213 WILSHIRE DR
DURHAM NC
27707-2245
US

IV. Provider business mailing address

PO BOX 987
DURHAM NC
27702-0987
US

V. Phone/Fax

Practice location:
  • Phone: 919-685-2184
  • Fax:
Mailing address:
  • Phone: 919-475-2201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHARONDA ARNOLD OCEAN
Title or Position: CEO
Credential: MPA. MSW, LCSW
Phone: 919-475-2201