Organization
POSITIVE PATHWAYS COUNSELING AND CONSULTING, LLC
Active
Other names
Positive Pathways
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE SHANK M.S., LMHC (COUNSELOR)
(317) 440-4176
Entity
Organization
Contact information
Practice address
13295 ILLINOIS ST, SUITE 132, CARMEL, IN 46032-3019
(317) 440-4176
(775) 288-3479
Mailing address
654 OVERCUP ST, WESTFIELD, IN 46074-5803
(317) 440-4176
(775) 288-3479
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001720A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201016750A
—
IN
Enumeration date
09/28/2010
Last updated
02/03/2012
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