Provider Demographics
NPI:1932658457
Name:POZITIVE APPROACH COUNSELING AND CONSULTATION SERVICES LLC
Entity Type:Organization
Organization Name:POZITIVE APPROACH COUNSELING AND CONSULTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:POMPA
Authorized Official - Suffix:JR
Authorized Official - Credentials:LCSW
Authorized Official - Phone:570-578-6170
Mailing Address - Street 1:89 CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:JIM THORPE
Mailing Address - State:PA
Mailing Address - Zip Code:18229-1201
Mailing Address - Country:US
Mailing Address - Phone:570-578-6170
Mailing Address - Fax:
Practice Address - Street 1:89 CENTER AVE
Practice Address - Street 2:
Practice Address - City:JIM THORPE
Practice Address - State:PA
Practice Address - Zip Code:18229-1201
Practice Address - Country:US
Practice Address - Phone:570-578-6170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-26
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0173341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty