Provider Demographics
NPI:1114644515
Name:POSITIVELY AFFIRMED THERAPEUTIC SERVICES
Entity Type:Organization
Organization Name:POSITIVELY AFFIRMED THERAPEUTIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LPC
Authorized Official - Prefix:
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:TSOURAS
Authorized Official - Last Name:ANTOINE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:337-393-0722
Mailing Address - Street 1:1630 RUE DU BELIER APT 1103
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-6557
Mailing Address - Country:US
Mailing Address - Phone:337-393-0722
Mailing Address - Fax:
Practice Address - Street 1:1630 RUE DU BELIER APT 1103
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-6557
Practice Address - Country:US
Practice Address - Phone:337-393-0722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-26
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty