Provider Demographics
NPI:1831950443
Name:POSITIVE PROGRESSIONS COUNSELING, LLC
Entity type:Organization
Organization Name:POSITIVE PROGRESSIONS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:PAOLILLO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:727-831-1311
Mailing Address - Street 1:2430 ESTANCIA BLVD STE 100A
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-2644
Mailing Address - Country:US
Mailing Address - Phone:727-831-1311
Mailing Address - Fax:855-770-9968
Practice Address - Street 1:2430 ESTANCIA BLVD STE 100A
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-2644
Practice Address - Country:US
Practice Address - Phone:727-831-1311
Practice Address - Fax:855-770-9968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty