Healthcare Provider Details

I. General information

NPI: 1366291635
Provider Name (Legal Business Name): THE PAWSITIVITY NETWORK, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2024
Last Update Date: 05/17/2024
Certification Date: 05/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3323 NE 163RD ST
NORTH MIAMI BEACH FL
33160-5506
US

IV. Provider business mailing address

42 NORMAN RD
MONTCLAIR NJ
07043-1934
US

V. Phone/Fax

Practice location:
  • Phone: 917-821-0199
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DORRI FUSSMANN
Title or Position: OWNER
Credential:
Phone: 326-104-6917