Provider Demographics
NPI:1568953792
Name:POSITIVE PERSPECTIVE COUNSELING & CONSULTATION
Entity Type:Organization
Organization Name:POSITIVE PERSPECTIVE COUNSELING & CONSULTATION
Other - Org Name:POSITIVE PERSPECTIVE COUNSELING & CONSULTATION
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:EBONY
Authorized Official - Middle Name:
Authorized Official - Last Name:REDDING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-514-7078
Mailing Address - Street 1:195 W 9 MILE RD STE 207
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48220-1750
Mailing Address - Country:US
Mailing Address - Phone:248-514-7078
Mailing Address - Fax:
Practice Address - Street 1:195 W 9 MILE RD STE 207
Practice Address - Street 2:
Practice Address - City:FERNDALE
Practice Address - State:MI
Practice Address - Zip Code:48220-1750
Practice Address - Country:US
Practice Address - Phone:248-514-7078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-23
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801091539101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty