Provider Demographics
NPI:1275040321
Name:POSITIVE DIRECTIONS COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:POSITIVE DIRECTIONS COUNSELING SERVICES LLC
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:LARAE
Authorized Official - Last Name:PENNE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:816-419-9678
Mailing Address - Street 1:170 ENGLISH LANDING DR STE 141
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64152-5020
Mailing Address - Country:US
Mailing Address - Phone:816-419-9678
Mailing Address - Fax:
Practice Address - Street 1:170 ENGLISH LANDING DR STE 141
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MO
Practice Address - Zip Code:64152-5020
Practice Address - Country:US
Practice Address - Phone:816-419-9678
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-10
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO000882101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty