MEDICARE: POSITIVE INSIGHTS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	4265-125	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083113583
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POSITIVE INSIGHTS, LLC

Provider Business Mailing Address
First Line	:	W1289 MORTENSEN RD
Second Line	:
City	:	BROOKLYN
State	:	WI
Zip	:	53521-8924
Country	:	US
Telephone Number	:	608-577-0084
Fax Number	:

Provider Business Practice Location Address
First Line	:	185 W NETHERWOOD ST STE 6B
Second Line	:
City	:	OREGON
State	:	WI
Zip	:	53575-1100
Country	:	US
Telephone Number	:	608-577-0084
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOTHERAPIST
Name	:	ERIN J OLHEISER
Credential	:	LPC
Telephone Number	:	608-577-0084

Provider Enumeration Date	:	02/09/2018
Last Update Date	:	02/09/2018

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Directions to “POSITIVE INSIGHTS, LLC ” Practice Location

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