| Positive Change Counseling Services, A Professional Corporation Of Mar | |
|
2050 Peabody Rd Suite 300 Vacaville CA 95687-6695 | |
| (707) 446-8600 | |
| (707) 446-8100 |
| Full Name | Positive Change Counseling Services, A Professional Corporation Of Mar |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2050 Peabody Rd, Vacaville, California |
| Authorized Official Name and Position | Carmelita Echo Horne (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 7074468600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Change Counseling Services, A Professional Corporation Of Mar 2050 Peabody Rd Suite 300 Vacaville CA 95687-6695 Ph: (707) 446-8600 | Positive Change Counseling Services, A Professional Corporation Of Mar 2050 Peabody Rd Suite 300 Vacaville CA 95687-6695 Ph: (707) 446-8600 |
| NPI Number | 1457668592 |
|---|---|
| Provider Enumeration Date | 09/10/2010 |
| Last Update Date | 12/29/2022 |
| Certification Date | 12/29/2022 |
| Medicare PECOS PAC ID | 0042663924 |
|---|---|
| Medicare Enrollment ID | O20240126002107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457668592 | NPI | - | NPPES |
| 1972810489 | Other | CA | MFT INTERN |
| Provider Name | Carmelita Echo Horne |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619004546 PECOS PAC ID: 1951754837 Enrollment ID: I20240126002201 |
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