Provider Demographics
NPI:1043700636
Name:POSITIVE PROGRESSIONS COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:POSITIVE PROGRESSIONS COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED COUNSELOR/ CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARQUITA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:CLAY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:469-285-2530
Mailing Address - Street 1:17330 PRESTON RD STE 200D
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-6106
Mailing Address - Country:US
Mailing Address - Phone:469-285-2530
Mailing Address - Fax:
Practice Address - Street 1:6060 N CENTRAL EXPY STE 460
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-5280
Practice Address - Country:US
Practice Address - Phone:469-285-2530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-18
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75801101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty