Healthcare Provider Details

I. General information

NPI: 1649941287
Provider Name (Legal Business Name): POSITIVE HEALING COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2021
Last Update Date: 02/18/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20290 DRUMMOND BAY
CLINTON TWP MI
48038-1467
US

IV. Provider business mailing address

20290 DRUMMOND BAY
CLINTON TWP MI
48038-1467
US

V. Phone/Fax

Practice location:
  • Phone: 586-201-0736
  • Fax:
Mailing address:
  • Phone: 586-201-0736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BREANNE TOBEN
Title or Position: CREDENTIALING
Credential:
Phone: 586-491-6909