Provider Demographics
NPI:1841780053
Name:A POSITIVE PATHWAY, LLC
Entity Type:Organization
Organization Name:A POSITIVE PATHWAY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PAUL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:888-316-1570
Mailing Address - Street 1:1009 COUNTY ROAD 123
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:AR
Mailing Address - Zip Code:72661-9079
Mailing Address - Country:US
Mailing Address - Phone:888-316-1570
Mailing Address - Fax:888-316-1570
Practice Address - Street 1:1009 COUNTY ROAD 123
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:AR
Practice Address - Zip Code:72661
Practice Address - Country:US
Practice Address - Phone:888-316-1570
Practice Address - Fax:888-316-1570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-14
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR7983-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1134202484OtherNPPES