Provider Demographics
NPI:1043607468
Name:PROGRESSIVE PSYCH SOLUTIONS, LLC
Entity Type:Organization
Organization Name:PROGRESSIVE PSYCH SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:ROSEMARIE
Authorized Official - Last Name:COLL
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:561-843-8917
Mailing Address - Street 1:8461 LAKE WORTH RD STE 156
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-2474
Mailing Address - Country:US
Mailing Address - Phone:561-843-8917
Mailing Address - Fax:
Practice Address - Street 1:8461 LAKE WORTH RD STE 156
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33467-2474
Practice Address - Country:US
Practice Address - Phone:561-843-8917
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-23
Last Update Date:2020-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty