Provider Demographics
NPI:1912489626
Name:PAWSITIVE THOUGHTS COUNSELING, LLC
Entity Type:Organization
Organization Name:PAWSITIVE THOUGHTS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MYSHRALL
Authorized Official - Suffix:
Authorized Official - Credentials:LADC
Authorized Official - Phone:860-830-0307
Mailing Address - Street 1:24 LAKE WOOD LN
Mailing Address - Street 2:
Mailing Address - City:ASHFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06278-1225
Mailing Address - Country:US
Mailing Address - Phone:860-830-0306
Mailing Address - Fax:
Practice Address - Street 1:68 HARTFORD TPKE
Practice Address - Street 2:
Practice Address - City:TOLLAND
Practice Address - State:CT
Practice Address - Zip Code:06084-2866
Practice Address - Country:US
Practice Address - Phone:860-830-0306
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1141101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty