Healthcare Provider Details
I. General information
NPI: 1215701578
Provider Name (Legal Business Name): POSITIVE PERSPECTIVE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/08/2023
Last Update Date: 11/08/2023
Certification Date: 11/08/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1779 W TRINDLE RD # 200-K
CARLISLE PA
17015-9766
US
IV. Provider business mailing address
1779 W TRINDLE RD # 200-K
CARLISLE PA
17015-9766
US
V. Phone/Fax
- Phone: 717-601-2824
- Fax: 717-205-1743
- Phone: 717-601-2824
- Fax: 717-205-1743
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHERYL
JOHNSON
Title or Position: OWNER
Credential: LCSW
Phone: 717-601-2824