Organization
POSITIVE TRANSFORMATIONS HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAISHA RONEAL DAVIS LPC (LICENSED PROFESSIONAL COUNSELOR)
(985) 313-1093
Entity
Organization
Contact information
Practice address
2590 HIGHWAY 1, THIBODAUX, LA 70301-5843
(985) 313-1093
(985) 313-1093
Mailing address
2590 HIGHWAY 1, THIBODAUX, LA 70301-5843
(985) 313-1093
(985) 313-1092
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/15/2019
Last updated
12/05/2023
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