Provider Demographics
NPI:1528812633
Name:PAWSITVE VIBES COUNSELING, P.L.L.C
Entity type:Organization
Organization Name:PAWSITVE VIBES COUNSELING, P.L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL THERAPIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:LORIANN
Authorized Official - Middle Name:ALLAIRE
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:484-818-1288
Mailing Address - Street 1:312 WILSONS MILLS RD
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27577-3248
Mailing Address - Country:US
Mailing Address - Phone:484-818-1288
Mailing Address - Fax:
Practice Address - Street 1:312 WILSONS MILLS RD
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-3248
Practice Address - Country:US
Practice Address - Phone:484-818-1288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker