Provider Demographics
NPI:1245409929
Name:POSITIVE OPTIONS COUNSELING SERVICES INCORPORATED
Entity Type:Organization
Organization Name:POSITIVE OPTIONS COUNSELING SERVICES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LARINDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:PENNE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:816-746-5775
Mailing Address - Street 1:171 ENGLISH LANDING DR
Mailing Address - Street 2:SUITE220
Mailing Address - City:PARKVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64152-5027
Mailing Address - Country:US
Mailing Address - Phone:816-746-5775
Mailing Address - Fax:816-746-5775
Practice Address - Street 1:171 ENGLISH LANDING DR
Practice Address - Street 2:SUITE220
Practice Address - City:PARKVILLE
Practice Address - State:MO
Practice Address - Zip Code:64152-5027
Practice Address - Country:US
Practice Address - Phone:816-746-5775
Practice Address - Fax:816-746-5775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO000882101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO20248017OtherBLUE CROSS AND BLUE SHIEL