# POSITIVE PERCEPTIONS COUNSELING AND SUPPORT SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184849457
- **Authorized official:** NICHELLE RENEE JONES LCSW (LICENSED CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (570) 839-4011

## Contact information

- **Practice address:** 529 SEVEN BRIDGE RD UNIT 105, EAST STROUDSBURG, PA 18301-7608
- **Practice address phone:** (570) 424-1768
- **Practice address fax:** (888) 314-5032
- **Mailing address:** 387 LAKE RD, TOBYHANNA, PA 18466-8038
- **Mailing address phone:** (570) 839-4011
- **Mailing address fax:** (888) 862-7310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | Yes |
| 104100000X | Social Worker | — | — | Yes |
| 1041C0700X | Clinical Social Worker | CW015018 | PA | — |

## Other

- **Enumeration date:** 04/13/2007
- **Last updated:** 03/26/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 101401517 0003 | — | PA |
| 05 | — | 1031161560002 | — | PA |