Provider Demographics
NPI:1447559711
Name:POSITIVE SOLUTIONS YOUTH AND FAMILY SERVICES LLC
Entity Type:Organization
Organization Name:POSITIVE SOLUTIONS YOUTH AND FAMILY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EXCUTIVE/THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:ALLENSWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:MASTERS
Authorized Official - Phone:405-610-6540
Mailing Address - Street 1:351 N AIR DEPOT
Mailing Address - Street 2:STE(S)
Mailing Address - City:MID WEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73110
Mailing Address - Country:US
Mailing Address - Phone:405-610-6540
Mailing Address - Fax:405-610-6563
Practice Address - Street 1:351 N AIR DEPOT BLVD
Practice Address - Street 2:STE(S)
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-1700
Practice Address - Country:US
Practice Address - Phone:405-610-6540
Practice Address - Fax:405-610-6563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-25
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health