Healthcare Provider Details

I. General information

NPI: 1952195877
Provider Name (Legal Business Name): PROGRESS AND POSITIVITY COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 LINCOLN DR E STE 201
MARLTON NJ
08053-3105
US

IV. Provider business mailing address

10000 LINCOLN DR E STE 201
MARLTON NJ
08053-3105
US

V. Phone/Fax

Practice location:
  • Phone: 443-406-8795
  • Fax:
Mailing address:
  • Phone: 443-406-8795
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KERRY TRACEY
Title or Position: CEO
Credential: LCSW
Phone: 443-406-8795