Healthcare Provider Details

I. General information

NPI: 1639896087
Provider Name (Legal Business Name): POSITIVE SOULUTIONS COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2022
Last Update Date: 10/26/2022
Certification Date: 10/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5072 ANNUNCIATION CIR STE 219
AVE MARIA FL
34142-9516
US

IV. Provider business mailing address

5072 ANNUNCIATION CIR STE 219
AVE MARIA FL
34142-9516
US

V. Phone/Fax

Practice location:
  • Phone: 239-867-4350
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE HORD
Title or Position: OWNER/PROVIDER
Credential:
Phone: 239-867-4350