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General NPI Number Information
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NPI Number | 1740079391
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Entity Type | Organization
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Legal Business Name | POSITIVE PATHWAYS PSYCHOTHERAPY PLLC
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 1253 CANYON RD STE 15
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City | MORGANTOWN
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State | WV
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Zip | 26508-9273
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Country | US
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Telephone | 304-451-9116
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Fax |
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Provider Business Mailing Address
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Address Line | 1253 CANYON RD SUITE 15 MAIL BOX #9
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City | MORGANTOWN
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State | WV
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Zip | 26508-9273
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Country | US
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Telephone | 304-451-9116
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HOLLY DANNER
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Credential | MSW, LICSW, MHA
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Telephone | 304-932-7099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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