| Positive Progress Services Corp. | |
|
305 E 3rd St Suite #5 Pembroke NC 28372-7991 | |
| (910) 521-7461 | |
| (910) 521-7463 |
| Full Name | Positive Progress Services Corp. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 305 E 3rd St, Pembroke, North Carolina |
| Authorized Official Name and Position | Lorie A Hammonds (CEO/PRESIDENT) |
| Authorized Official Contact | 9105217461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Progress Services Corp. 305 E 3rd St Ste 5 Pembroke NC 28372-7991 Ph: (910) 521-7461 | Positive Progress Services Corp. 305 E 3rd St Suite #5 Pembroke NC 28372-7991 Ph: (910) 521-7461 |
| NPI Number | 1134410327 |
|---|---|
| Provider Enumeration Date | 04/22/2011 |
| Last Update Date | 04/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134410327 | NPI | - | NPPES |
| 1477604007 | Medicaid | NC | |
| 1063618049 | Medicaid | NC | |
| 1770689101 | Medicaid | NC | |
| 1134225154 | Medicaid | NC | |
| 1760607006 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MHL-078-249 (North Carolina) | Primary |
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