MEDICARE: OCEAN VIEW THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1225907074
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCEAN VIEW THERAPY LLC

Provider Business Mailing Address
First Line	:	1527 GAUSE BLVD UNIT 411
Second Line	:
City	:	SLIDELL
State	:	LA
Zip	:	70458-2244
Country	:	US
Telephone Number	:	619-630-7256
Fax Number	:

Provider Business Practice Location Address
First Line	:	1640 TOWN CENTER PKWY APT 2301
Second Line	:
City	:	SLIDELL
State	:	LA
Zip	:	70458-8137
Country	:	US
Telephone Number	:	619-630-7256
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JESSICA STONE
Credential	:	LMFT
Telephone Number	:	774-994-1454

Provider Enumeration Date	:	10/31/2025
Last Update Date	:	12/15/2025

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