Healthcare Provider Details

I. General information

NPI: 1598549693
Provider Name (Legal Business Name): POSITIVE PERSPECTIVE THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2023
Last Update Date: 08/21/2023
Certification Date: 08/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11-13 SUNFLOWER AVE
PARAMUS NJ
07652-3700
US

IV. Provider business mailing address

78 STANLEY ST
CLIFTON NJ
07013-1310
US

V. Phone/Fax

Practice location:
  • Phone: 201-739-2216
  • Fax:
Mailing address:
  • Phone: 201-739-2216
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: ALEXA SQUIRE
Title or Position: OWNER
Credential: LMFT, ACS
Phone: 201-739-2216