Provider Demographics
NPI:1740949163
Name:POSITIVE MIND(SET) COUNSELING, LLC
Entity type:Organization
Organization Name:POSITIVE MIND(SET) COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:K
Authorized Official - Last Name:KESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:203-962-5375
Mailing Address - Street 1:40 AVONRIDGE
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CT
Mailing Address - Zip Code:06001-4039
Mailing Address - Country:US
Mailing Address - Phone:203-962-5375
Mailing Address - Fax:
Practice Address - Street 1:2475 ALBANY AVE STE 205
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06117-2523
Practice Address - Country:US
Practice Address - Phone:203-962-5375
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-13
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty