Provider Demographics
NPI:1972284586
Name:POSITIVE PATHWAYS LLC
Entity Type:Organization
Organization Name:POSITIVE PATHWAYS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PASSAMONTE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:808-740-8572
Mailing Address - Street 1:910 HONOAPIILANI HWY STE 7-202
Mailing Address - Street 2:
Mailing Address - City:LAHAINA
Mailing Address - State:HI
Mailing Address - Zip Code:96761-1507
Mailing Address - Country:US
Mailing Address - Phone:808-740-8572
Mailing Address - Fax:
Practice Address - Street 1:1300 LIMAHANA CIR # C304
Practice Address - Street 2:
Practice Address - City:LAHAINA
Practice Address - State:HI
Practice Address - Zip Code:96761-2437
Practice Address - Country:US
Practice Address - Phone:808-740-8572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1467136721OtherNPI-1
HIMHC-954-0OtherMENTAL HEALTH COUNSELOR LICENSE