Provider Demographics
NPI:1447915335
Name:A POSITIVE FOCUS COUNSELING, LLC
Entity type:Organization
Organization Name:A POSITIVE FOCUS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOCK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:253-561-3531
Mailing Address - Street 1:9760 N 68TH DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85345-8813
Mailing Address - Country:US
Mailing Address - Phone:253-561-3531
Mailing Address - Fax:253-220-2531
Practice Address - Street 1:9760 N 68TH DR
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85345-8813
Practice Address - Country:US
Practice Address - Phone:253-561-3531
Practice Address - Fax:253-220-2531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-04
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2087357Medicaid