| Path To Positive Change Inc. | |
|
10 Fairway Dr Ste 100h Deerfield Beach FL 33441-1801 | |
| (954) 803-0960 | |
| (954) 204-0015 |
| Full Name | Path To Positive Change Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 10 Fairway Dr Ste 100h, Deerfield Beach, Florida |
| Authorized Official Name and Position | Audrey Ann Anspach (PRESIDENT) |
| Authorized Official Contact | 9548030960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Path To Positive Change Inc. 10 Fairway Drive Pmb 100-h Suite 100 Deerfield Beach FL 33441 Ph: (954) 803-0960 | Path To Positive Change Inc. 10 Fairway Dr Ste 100h Deerfield Beach FL 33441-1801 Ph: (954) 803-0960 |
| NPI Number | 1043653637 |
|---|---|
| Provider Enumeration Date | 04/12/2013 |
| Last Update Date | 02/04/2023 |
| Certification Date | 02/04/2023 |
| Medicare PECOS PAC ID | 2365684198 |
|---|---|
| Medicare Enrollment ID | O20130807000811 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043653637 | NPI | - | NPPES |
| Provider Name | Audrey A Anspach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841545258 PECOS PAC ID: 3274789086 Enrollment ID: I20120810000247 |
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