Provider Demographics
NPI:1053130617
Name:POSITIVE IMPACT COUNSELING PLLC
Entity type:Organization
Organization Name:POSITIVE IMPACT COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CATHRYN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DESPINS
Authorized Official - Suffix:
Authorized Official - Credentials:LADC
Authorized Official - Phone:603-707-6144
Mailing Address - Street 1:322 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TILTON
Mailing Address - State:NH
Mailing Address - Zip Code:03276-5037
Mailing Address - Country:US
Mailing Address - Phone:603-707-6144
Mailing Address - Fax:
Practice Address - Street 1:322 W MAIN ST
Practice Address - Street 2:
Practice Address - City:TILTON
Practice Address - State:NH
Practice Address - Zip Code:03276-5037
Practice Address - Country:US
Practice Address - Phone:603-707-6144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty