| Positive Edge Counseling, Llc | |
|
240 Grand Avenue Englewood NJ 07631 | |
| (201) 618-6911 | |
| Not Available |
| Full Name | Positive Edge Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 240 Grand Avenue, Englewood, New Jersey |
| Authorized Official Name and Position | Linda Rosa (ADMINISTRATOR) |
| Authorized Official Contact | 2012818955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Edge Counseling, Llc 240 Grand Ave Englewood NJ 07631-4352 Ph: (201) 618-6911 | Positive Edge Counseling, Llc 240 Grand Avenue Englewood NJ 07631 Ph: (201) 618-6911 |
| NPI Number | 1689188575 |
|---|---|
| Provider Enumeration Date | 11/30/2017 |
| Last Update Date | 11/30/2017 |
| Medicare PECOS PAC ID | 6507126067 |
|---|---|
| Medicare Enrollment ID | O20180201002676 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689188575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Efrat Shaked |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346420940 PECOS PAC ID: 9537298500 Enrollment ID: I20100601000362 |
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