| Positive Change Therapy, Pllc | |
|
419 N Jackson Ave Odessa TX 79761-5124 | |
| (432) 244-0430 | |
| Not Available |
| Full Name | Positive Change Therapy, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 419 N Jackson Ave, Odessa, Texas |
| Authorized Official Name and Position | Jennifer Nichols (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4322440430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Change Therapy, Pllc 4706 N Midkiff Rd Ste 22 Midland TX 79705-2527 Ph: (432) 244-0430 | Positive Change Therapy, Pllc 419 N Jackson Ave Odessa TX 79761-5124 Ph: (432) 244-0430 |
| NPI Number | 1740044023 |
|---|---|
| Provider Enumeration Date | 02/07/2024 |
| Last Update Date | 02/18/2024 |
| Certification Date | 02/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740044023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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