Provider Demographics
NPI:1417661505
Name:POSITIVE EXPRESSIONS INC
Entity Type:Organization
Organization Name:POSITIVE EXPRESSIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-259-8387
Mailing Address - Street 1:6600 MONTANA AVE STE P
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-2149
Mailing Address - Country:US
Mailing Address - Phone:915-259-8387
Mailing Address - Fax:915-219-8546
Practice Address - Street 1:5959 GATEWAY BLVD W STE 450
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-3396
Practice Address - Country:US
Practice Address - Phone:915-219-9505
Practice Address - Fax:915-219-8387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-12
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX453802701Medicaid