Provider Demographics
NPI:1952655821
Name:A POSITIVE STEP OF MONROE COUNTY, INC
Entity Type:Organization
Organization Name:A POSITIVE STEP OF MONROE COUNTY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:NORWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:305-292-6737
Mailing Address - Street 1:5503 COLLEGE RD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-4316
Mailing Address - Country:US
Mailing Address - Phone:305-292-6737
Mailing Address - Fax:305-295-8333
Practice Address - Street 1:5503 COLLEGE RD
Practice Address - Street 2:SUITE 1023
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4316
Practice Address - Country:US
Practice Address - Phone:305-292-6737
Practice Address - Fax:305-295-8333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-31
Last Update Date:2014-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL008197600Medicaid