Healthcare Provider Details

I. General information

NPI: 1992420582
Provider Name (Legal Business Name): POSITIVE GROWTH SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2022
Last Update Date: 02/28/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3759 BUSINESS 220 STE 105
BEDFORD PA
15522-1130
US

IV. Provider business mailing address

631 BACK SPRINGS RD
BEDFORD PA
15522-2045
US

V. Phone/Fax

Practice location:
  • Phone: 814-330-1793
  • Fax:
Mailing address:
  • Phone: 814-330-1793
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMY FRITZ
Title or Position: LICENSED PSYCHOTHERAPIST/OWNER
Credential: LCPC, LPC
Phone: 814-330-1793