| Positive Pathways Llc | |
|
108 N Franklin St Ste C Madison NC 27025-1968 | |
| (336) 612-1827 | |
| (910) 310-4072 |
| Full Name | Positive Pathways Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 108 N Franklin St Ste C, Madison, North Carolina |
| Authorized Official Name and Position | Patricia Marie Jimenez (OWNER) |
| Authorized Official Contact | 3366121827 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Pathways Llc 401 N 11th Ave Mayodan NC 27027-2113 Ph: (336) 612-1827 | Positive Pathways Llc 108 N Franklin St Ste C Madison NC 27025-1968 Ph: (336) 612-1827 |
| NPI Number | 1629821681 |
|---|---|
| Provider Enumeration Date | 04/09/2024 |
| Last Update Date | 04/22/2024 |
| Certification Date | 04/22/2024 |
| Medicare PECOS PAC ID | 2860937240 |
|---|---|
| Medicare Enrollment ID | O20240710000395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629821681 | NPI | - | NPPES |
| Provider Name | Chrystal D Gammon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073165148 PECOS PAC ID: 2365876729 Enrollment ID: I20191218002271 |
| Provider Name | Danielle Karen Segar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700486651 PECOS PAC ID: 9739599473 Enrollment ID: I20210203000165 |
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