Provider Demographics
NPI:1053475251
Name:COACHINGPOSITIVITY, LLC
Entity Type:Organization
Organization Name:COACHINGPOSITIVITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:B
Authorized Official - Last Name:KRINGS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:920-682-9119
Mailing Address - Street 1:1407 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220-6707
Mailing Address - Country:US
Mailing Address - Phone:920-682-9119
Mailing Address - Fax:
Practice Address - Street 1:1407 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:MANITOWOC
Practice Address - State:WI
Practice Address - Zip Code:54220-6707
Practice Address - Country:US
Practice Address - Phone:920-682-9119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty