Positive Start Counseling Services, Inc | |
11440 Okeechobee Blvd #205b Royal Palm Beach FL 33411-8726 | |
(954) 817-5825 | |
(561) 693-5514 |
Full Name | Positive Start Counseling Services, Inc |
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Speciality | Counselor |
Location | 11440 Okeechobee Blvd #205b, Royal Palm Beach, Florida |
Authorized Official Name and Position | Michelle Ann Fyfe (OWNER) |
Authorized Official Contact | 9548175825 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Positive Start Counseling Services, Inc 11440 Okeechobee Blvd #205b Royal Palm Beach FL 33411-8726 Ph: (954) 817-5825 | Positive Start Counseling Services, Inc 11440 Okeechobee Blvd #205b Royal Palm Beach FL 33411-8726 Ph: (954) 817-5825 |
NPI Number | 1518206341 |
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Provider Enumeration Date | 02/14/2013 |
Last Update Date | 07/12/2019 |
Medicare PECOS PAC ID | 1052762770 |
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Medicare Enrollment ID | O20240108000836 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518206341 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 2529 (Florida) | Secondary |
101YM0800X | Counselor - Mental Health | MH8645 (Florida) | Primary |
Provider Name | Michelle Fyfe |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1861569493 PECOS PAC ID: 2961853684 Enrollment ID: I20240108001728 |
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