Provider Demographics
NPI:1255571709
Name:POSITIVE SOLUTIONS COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:POSITIVE SOLUTIONS COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:C
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:229-599-2930
Mailing Address - Street 1:1523 OLD VALDOSTA HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:RAY CITY
Mailing Address - State:GA
Mailing Address - Zip Code:31645-9745
Mailing Address - Country:US
Mailing Address - Phone:229-599-2930
Mailing Address - Fax:229-599-2931
Practice Address - Street 1:612 N DAVIS ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:GA
Practice Address - Zip Code:31639-1427
Practice Address - Country:US
Practice Address - Phone:229-599-2930
Practice Address - Fax:229-599-2931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA001116106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty