Provider Demographics
NPI:1609598689
Name:A POSITIVE ALTERNATIVE
Entity Type:Organization
Organization Name:A POSITIVE ALTERNATIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAYZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-535-8860
Mailing Address - Street 1:4649 SUNNYSIDE AVE N STE 200
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-6956
Mailing Address - Country:US
Mailing Address - Phone:206-535-8860
Mailing Address - Fax:206-547-1955
Practice Address - Street 1:4649 SUNNYSIDE AVE N STE 200
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-6956
Practice Address - Country:US
Practice Address - Phone:206-535-8860
Practice Address - Fax:206-547-1955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WABHA.FS.60873798OtherWASHINGTON STATE DEPARTMENT OF HEALTH