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Organization
LIVING POSITIVE INC
Active
Organization
LIVING POSITIVE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELINE BOBB-INNISS LCSW-R (PRESIDENT)
(718) 916-3359
Entity
Organization
Contact information
Practice address
250 FULTON AVE, SUITE 418, HEMPSTEAD, NY 11550-3917
(718) 916-3359
(646) 374-3955
Mailing address
11305 202ND ST, SAINT ALBANS, NY 11412-2530
(718) 264-7803
(646) 374-3955
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R047220-1
NY
101YM0800X
Mental Health Counselor
R047220-1
NY
104100000X
Social Worker
R047220-1
NY
1041C0700X
Clinical Social Worker
Primary
R047220-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04239052
—
NY
01
—
A100108105
MEDICARE
NY
Enumeration date
01/12/2016
Last updated
01/12/2016
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