Healthcare Provider Details

I. General information

NPI: 1407766025
Provider Name (Legal Business Name): POSITIVE INNERG & HEALING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 HOLLAND AVE
BRADDOCK PA
15104-1442
US

IV. Provider business mailing address

316 HOLLAND AVE
BRADDOCK PA
15104-1442
US

V. Phone/Fax

Practice location:
  • Phone: 412-753-7317
  • Fax:
Mailing address:
  • Phone: 412-753-7317
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: BRITTANIE WOOTEN
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: MS, NCC, LPC
Phone: 412-753-7317