| Organization Name: | POSITIVE PERCEPTIONS COUNSELING AND SUPPORT SERVICES, LLC |
| NPI Number: | 1184849457 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NICHELLE RENEE JONES (LICENSED CLINICAL SOCIAL WORKER) |
| Mailing Address: | 425 Carlton Rd Ste 101 Mount Pocono |
| State: | PA US |
| Postal Code: | 183447180 |
| Phone Number: | 5702438585 |
| Fax Number: | 8888627310 |
| NPI Enumeration Date: | 04/13/2007 |
| NPI Last Update Date: | 12/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CW015018 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |