| Positive Expressions Inc | |
|
5959 Gateway Blvd W Ste 450 El Paso TX 79925-3396 | |
| (915) 219-9505 | |
| (915) 219-8387 |
| Full Name | Positive Expressions Inc |
|---|---|
| Speciality | Counselor |
| Location | 5959 Gateway Blvd W Ste 450, El Paso, Texas |
| Authorized Official Name and Position | Patricia Rosales (OWNER) |
| Authorized Official Contact | 9152598387 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Expressions Inc 6600 Montana Ave Ste P El Paso TX 79925-2149 Ph: (915) 259-8387 | Positive Expressions Inc 5959 Gateway Blvd W Ste 450 El Paso TX 79925-3396 Ph: (915) 219-9505 |
| NPI Number | 1417661505 |
|---|---|
| Provider Enumeration Date | 01/12/2023 |
| Last Update Date | 11/28/2023 |
| Certification Date | 11/28/2023 |
| Medicare PECOS PAC ID | 8123461894 |
|---|---|
| Medicare Enrollment ID | O20240209000877 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417661505 | NPI | - | NPPES |
| 453802701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Patricia Rosales |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700364072 PECOS PAC ID: 7911340039 Enrollment ID: I20240206002024 |
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