Positive Progressions, Llc | |
507 N Clark St Powell WY 82435-1915 | |
(307) 754-7970 | |
Not Available |
Full Name | Positive Progressions, Llc |
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Speciality | Social Worker |
Location | 507 N Clark St, Powell, Wyoming |
Authorized Official Name and Position | Nathan N Cook (OWNER/THERAPIST) |
Authorized Official Contact | 3077547970 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Positive Progressions, Llc Po Box 847 Powell WY 82435-0847 Ph: (307) 754-7970 | Positive Progressions, Llc 507 N Clark St Powell WY 82435-1915 Ph: (307) 754-7970 |
NPI Number | 1477716470 |
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Provider Enumeration Date | 07/09/2008 |
Last Update Date | 08/13/2019 |
Medicare PECOS PAC ID | 8820356520 |
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Medicare Enrollment ID | O20180102001361 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477716470 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Krista Lee Blough |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538432513 PECOS PAC ID: 4284885591 Enrollment ID: I20121114000653 |
Provider Name | Marsha Wilkinson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730150335 PECOS PAC ID: 8426317199 Enrollment ID: I20180126000188 |
Provider Name | James Harvey Winchester |
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Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1740583491 PECOS PAC ID: 0446432058 Enrollment ID: I20200204000042 |
Provider Name | Hanna R Powers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619500097 PECOS PAC ID: 7810325594 Enrollment ID: I20200311000679 |
Provider Name | Kathleen A Nielsen |
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Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1700970837 PECOS PAC ID: 5799712907 Enrollment ID: I20211117001943 |
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