Provider Demographics
NPI:1437670973
Name:POSITIVE OUTCOMES COUNSELING
Entity Type:Organization
Organization Name:POSITIVE OUTCOMES COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:ELAINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:O'BRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:631-365-5119
Mailing Address - Street 1:10912 CENTRAL PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-2240
Mailing Address - Country:US
Mailing Address - Phone:631-365-5119
Mailing Address - Fax:
Practice Address - Street 1:8022 OLD COUNTY ROAD 54
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-6409
Practice Address - Country:US
Practice Address - Phone:727-784-8244
Practice Address - Fax:727-264-8802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-06
Last Update Date:2017-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty