Provider Demographics
NPI:1689939506
Name:POSITIVE STEPS COUNSELING LLC
Entity Type:Organization
Organization Name:POSITIVE STEPS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SAWICKI-LAKE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:407-699-5824
Mailing Address - Street 1:300 N RONALD REAGAN BLVD
Mailing Address - Street 2:SUITE 211
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-5901
Mailing Address - Country:US
Mailing Address - Phone:407-699-5824
Mailing Address - Fax:
Practice Address - Street 1:300 N RONALD REAGAN BLVD
Practice Address - Street 2:SUITE 211
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-5901
Practice Address - Country:US
Practice Address - Phone:407-699-5824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-06
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8502101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty