Healthcare Provider Details

I. General information

NPI: 1144496589
Provider Name (Legal Business Name): POSITIVE SOLUTIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2008
Last Update Date: 07/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 WASHINGTON ST
SUPERIOR NE
68978-1149
US

IV. Provider business mailing address

PO BOX 271
SUPERIOR NE
68978-0271
US

V. Phone/Fax

Practice location:
  • Phone: 402-879-4432
  • Fax: 402-879-3401
Mailing address:
  • Phone: 402-879-4432
  • Fax: 402-879-3401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2528
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1059
License Number StateNE

VIII. Authorized Official

Name: PEGGY ANN MEYER
Title or Position: OWNER
Credential: LICSW
Phone: 402-879-4432