Provider Demographics
NPI:1437902954
Name:POSITIVE GROWTH COUNSELING, LLC
Entity Type:Organization
Organization Name:POSITIVE GROWTH COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAMY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-603-8666
Mailing Address - Street 1:3520 WYOMING AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79903-4428
Mailing Address - Country:US
Mailing Address - Phone:915-494-7201
Mailing Address - Fax:915-581-7980
Practice Address - Street 1:3520 WYOMING AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79903-4428
Practice Address - Country:US
Practice Address - Phone:915-494-7201
Practice Address - Fax:915-581-7980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty