MEDICARE: POSITIVE CHANGES COUNSELING SERVICES 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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1588319339
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POSITIVE CHANGES COUNSELING SERVICES LLC

Provider Business Mailing Address
First Line	:	3601 CONCORD RD
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-8741
Country	:	US
Telephone Number	:	717-821-4438
Fax Number	:

Provider Business Practice Location Address
First Line	:	3601 CONCORD RD
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-8741
Country	:	US
Telephone Number	:	717-659-8586
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR/THERAPIST
Name	:	LINDSAY BRUGGEMAN
Credential	:	LPC
Telephone Number	:	717-659-8586

Provider Enumeration Date	:	02/18/2022
Last Update Date	:	02/12/2025

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