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General NPI Number Information
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NPI Number | 1972284586
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Entity Type | Organization
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Legal Business Name | POSITIVE PATHWAYS LLC
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Dates
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Enumeration Date | 07/27/2023
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 1300 LIMAHANA CIR # C304
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City | LAHAINA
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State | HI
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Zip | 96761-2437
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Country | US
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Telephone | 808-740-8572
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Fax |
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Provider Business Mailing Address
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Address Line | 910 HONOAPIILANI HWY STE 7-202
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City | LAHAINA
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State | HI
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Zip | 96761-1507
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Country | US
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Telephone | 808-740-8572
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | MS. STEPHANIE PASSAMONTE
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Credential | LMHC
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Telephone | 808-740-8572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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