| Positive Path Counseling & Consulting Agency, Llc | |
|
932 Sun Wood Dr Smiths Station AL 36877-4858 | |
| (334) 408-7196 | |
| Not Available |
| Full Name | Positive Path Counseling & Consulting Agency, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 932 Sun Wood Dr, Smiths Station, Alabama |
| Authorized Official Name and Position | Kenya Spencer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3344087196 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Path Counseling & Consulting Agency, Llc 932 Sun Wood Dr Smiths Station AL 36877-4858 Ph: (334) 408-7196 | Positive Path Counseling & Consulting Agency, Llc 932 Sun Wood Dr Smiths Station AL 36877-4858 Ph: (334) 408-7196 |
| NPI Number | 1164103768 |
|---|---|
| Provider Enumeration Date | 07/26/2023 |
| Last Update Date | 07/26/2023 |
| Certification Date | 07/26/2023 |
| Medicare PECOS PAC ID | 7315392990 |
|---|---|
| Medicare Enrollment ID | O20231017002936 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164103768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kenya Spencer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891476446 PECOS PAC ID: 8224483805 Enrollment ID: I20231017003127 |
Paul R Guinane Phd Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2061lee Road 430, Smiths Station, AL 36877 Phone: 334-577-4978 Fax: 334-408-4518 |