POSITIVE CHANGES COUNSELING SERVICES LLC


Address: 124 Rum River Dr N, Princeton, MN 55371-1617
Phone: 7632428518

POSITIVE CHANGES COUNSELING SERVICES LLC (NPI# 1508411869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508411869
Entity Type Organization
Organization Name POSITIVE CHANGES COUNSELING SERVICES LLC
Practice Address 124 Rum River Dr N
Princeton
MN 55371-1617
Practice Telephone 7632428518
Mailing Telephone 7632428518
Enumeration Date 2019-08-05
Last Update Date 2019-08-05
Authorized Official Name JENNIFER DUNCAN (BUSINESS ADMINISTRATOR)
Authorized Official Telephone 7632428518
Authorized Official Credential BA, MHP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities

Office Location

Street Address 124 RUM RIVER DR N
City PRINCETON
State MN
Zip Code 55371-1617

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053962530 Monica Gail Broten Technician 30840 Tiger Street Nw, Princeton, MN 55371 2019-09-25
1215349584 Stephen Destefano Pharmacist 31419 131st Street, Princeton, MN 55371 2014-05-21
1164798948 Andrew Sudbeck Counselor 101 18th Avenue North, Princeton, MN 55371 2012-03-27
1073804803 Sterling Pointe Senior Living LLC Assisted Living Facility 1250 Northland Drive, Princeton, MN 55371 2011-04-27
1568752533 Rum River Health Services, Inc. Substance Abuse Rehabilitation Facility 3079 90th Avenue, Princeton, MN 55371 2011-04-12
1780989038 Dr. Kynan Westermeyer, Dds, Pllc Clinic/Center 404 1st St. N, Princeton, MN 55371 2011-01-18
1275788085 Cody James Leff Pharmacist 1100 11th Avenue South, Princeton, MN 55371 2008-11-20
1164679213 Rum River Health Services, Inc Substance Abuse Rehabilitation Facility 1101 N 5th St, Princeton, MN 55371 2008-08-20
1801059639 Rum River Health Services, Inc Substance Abuse Rehabilitation Facility 1506 1st Street, Princeton, MN 55371 2008-07-02
1497940928 James Michael Mandt Pharmacist 911 Northland Drive, Fairview Northland Medical Center, Princeton, MN 55371 2007-09-07
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Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922407816 Princeton Psychology Associates, LLC Clinic/Center 601 Ewing St, Suite C20-a, Princeton, NJ 08540-2757 2014-08-18
1598185340 Matthew D Haar, Phd Inc Clinic/Center 166 Bunn Dr, Suite 101, Princeton, NJ 08540-2800 2014-04-20
1952643843 Rum River Health Services, Inc. Clinic/Center 1506 1st St, Princeton, MN 55371-1462 2013-03-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821697202 Kids Zone Autism Center Inc Clinic/Center 670 Marigold Ter Ne, Fridley, MN 55432-5641 2020-10-18
1568079374 Midway Counseling Services LLC Clinic/Center 1410 9th Ave S Apt 306, Saint Cloud, MN 56301-5787 2020-09-25
1801409099 Star Autism Center Clinic/Center 3333 W Division St Ste 116, Saint Cloud, MN 56301-4548 2020-08-26
1851900484 Iron Range Behavioral Services LLC Clinic/Center 817 S 5th Ave, Virginia, MN 55792-2804 2020-07-29
1184240103 Adhd&u Clinic/Center 2196 Carter Ave, Saint Paul, MN 55108-1709 2020-06-25
1033744008 Star Health Services Clinic/Center 3055 Old High 8, Saint Anthony, MN 55418 2020-03-10
1659906071 Amoud Center Inc Clinic/Center 1925 Portland Ave, Minneapolis, MN 55404-2713 2020-03-05
1164055026 Moonlight Support Services LLC Clinic/Center 3110 Old Hwy 8, 206, Roseville, MN 55113-5511 2020-02-19
1285279554 Metro Therapy Center Inc Clinic/Center 2520 Pillsbury Ave S Apt 306, Minneapolis, MN 55404-4208 2019-11-11
1710536081 Blu Care Inc Clinic/Center 2910 Pillsbury Ave S Ste 338, Minneapolis, MN 55408 2019-09-09
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Competitor

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City PRINCETON
Zip Code 55371

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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