Provider Demographics
NPI:1629528922
Name:POSITIVE SOLUTIONS PCS
Entity Type:Organization
Organization Name:POSITIVE SOLUTIONS PCS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:YOLANDA
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:772-528-3828
Mailing Address - Street 1:529 NW PRIMA VISTA BLVD
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34983-8785
Mailing Address - Country:US
Mailing Address - Phone:772-528-3828
Mailing Address - Fax:
Practice Address - Street 1:4949 NW FOXWORTH AVE
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34983-2302
Practice Address - Country:US
Practice Address - Phone:772-528-3828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-11
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health