Provider Demographics
NPI:1346830916
Name:POSITIVE IMPACT LLC
Entity Type:Organization
Organization Name:POSITIVE IMPACT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TCM
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:M
Authorized Official - Last Name:VICKERS
Authorized Official - Suffix:
Authorized Official - Credentials:LBSW
Authorized Official - Phone:785-969-5233
Mailing Address - Street 1:6021 SW 29TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-6201
Mailing Address - Country:US
Mailing Address - Phone:785-633-0400
Mailing Address - Fax:
Practice Address - Street 1:3927 SW 40TH TER
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66610-2328
Practice Address - Country:US
Practice Address - Phone:785-969-5233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-19
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management