MEDICARE: OCEAN SANDS COUNSELING PLLC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1952099046
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCEAN SANDS COUNSELING PLLC

Provider Business Mailing Address
First Line	:	411 SILVER SPRING ST
Second Line	:
City	:	DALLAS
State	:	GA
Zip	:	30157-8287
Country	:	US
Telephone Number	:	718-974-9341
Fax Number	:

Provider Business Practice Location Address
First Line	:	411 SILVER SPRING ST
Second Line	:
City	:	DALLAS
State	:	GA
Zip	:	30157-8287
Country	:	US
Telephone Number	:	718-974-9341
Fax Number	:

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

Provider Enumeration Date	:	04/26/2023
Last Update Date	:	12/09/2025

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