Provider Demographics
NPI:1548808397
Name:POSITIVEFMHS,LLC
Entity type:Organization
Organization Name:POSITIVEFMHS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:BEEBE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, PSYD, HSPP
Authorized Official - Phone:317-371-1681
Mailing Address - Street 1:497 1/2 W JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46131-2111
Mailing Address - Country:US
Mailing Address - Phone:317-371-1681
Mailing Address - Fax:866-374-2965
Practice Address - Street 1:11 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46158-1661
Practice Address - Country:US
Practice Address - Phone:317-371-1681
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-11
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty