Provider Demographics
NPI:1083999833
Name:POSITIVE PATH COUNSELING, LLC
Entity Type:Organization
Organization Name:POSITIVE PATH COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:P
Authorized Official - Last Name:FRASER
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:614-588-0303
Mailing Address - Street 1:9022 MOORS PL N
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-9048
Mailing Address - Country:US
Mailing Address - Phone:614-339-0424
Mailing Address - Fax:614-339-0425
Practice Address - Street 1:6055 TAIN DR STE 104
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-8449
Practice Address - Country:US
Practice Address - Phone:614-588-0303
Practice Address - Fax:614-588-0303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-12
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
OHI00008428251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty