| Positive Therapy Llc | |
|
2 Pine Cone Dr Palm Coast FL 32135-7001 | |
| (786) 408-2926 | |
| (305) 640-8034 |
| Full Name | Positive Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2 Pine Cone Dr, Palm Coast, Florida |
| Authorized Official Name and Position | Jameelah Trimble (MANAGER/OWNER) |
| Authorized Official Contact | 3522568242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Therapy Llc Po Box 353214 Palm Coast FL 32135-3214 Ph: (786) 408-2926 | Positive Therapy Llc 2 Pine Cone Dr Palm Coast FL 32135-7001 Ph: (786) 408-2926 |
| NPI Number | 1679396915 |
|---|---|
| Provider Enumeration Date | 11/05/2024 |
| Last Update Date | 06/25/2025 |
| Certification Date | 06/25/2025 |
| Medicare PECOS PAC ID | 8921526682 |
|---|---|
| Medicare Enrollment ID | O20250516000148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679396915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jameelah Trimble |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245783463 PECOS PAC ID: 8820386592 Enrollment ID: I20161012001336 |
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