| Ocean Waves Therapy Llc | |
|
36407 Fir Dr Rehoboth Beach DE 19971-8661 | |
| (302) 496-7116 | |
| Not Available |
| Full Name | Ocean Waves Therapy Llc |
|---|---|
| Speciality | Psychologist |
| Location | 36407 Fir Dr, Rehoboth Beach, Delaware |
| Authorized Official Name and Position | Ricky L Jones (CEO / LPC) |
| Authorized Official Contact | 3024967116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocean Waves Therapy Llc 19266 Coastal Hwy Unit 4 Box68 Rehoboth Beach DE 19971 Ph: (302) 496-7116 | Ocean Waves Therapy Llc 36407 Fir Dr Rehoboth Beach DE 19971-8661 Ph: (302) 496-7116 |
| NPI Number | 1114790359 |
|---|---|
| Provider Enumeration Date | 10/31/2023 |
| Last Update Date | 10/31/2023 |
| Certification Date | 10/31/2023 |
| Medicare PECOS PAC ID | 6002259421 |
|---|---|
| Medicare Enrollment ID | O20240213000725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114790359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Ricky Lee Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780141432 PECOS PAC ID: 7911355466 Enrollment ID: I20240217000530 |
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