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General NPI Number Information
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NPI Number | 1952099046
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Entity Type | Organization
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Legal Business Name | OCEAN SANDS COUNSELING PLLC
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Dates
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Enumeration Date | 04/26/2023
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 411 SILVER SPRING ST
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City | DALLAS
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State | GA
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Zip | 30157-8287
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Country | US
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Telephone | 718-974-9341
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Fax |
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Provider Business Mailing Address
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Address Line | 411 SILVER SPRING ST
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City | DALLAS
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State | GA
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Zip | 30157-8287
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Country | US
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Telephone | 718-974-9341
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER/CEO
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Name | MELISSA MONIQUE LAWRENCE
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Credential | LPC, LMHC, RPT
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Telephone | 718-974-9341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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