=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962335521
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | POSITIVELY PSYCHED COUNSELING LCSW PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/04/2026
-----------------------------------------------------
Last Update Date | 06/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 320 W CENTER ST
-----------------------------------------------------
City | ELMIRA
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14901-1315
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 607-483-5366
-----------------------------------------------------
Fax | 607-558-2433
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 320 W CENTER ST
-----------------------------------------------------
City | ELMIRA
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14901-1315
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 607-483-5366
-----------------------------------------------------
Fax | 607-558-2433
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DEBRA THATCHER
-----------------------------------------------------
Credential | LCSW-R
-----------------------------------------------------
Telephone | 607-483-5366
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------