Provider Demographics
NPI:1457800807
Name:POSITIVE PROSPECTS LLC
Entity Type:Organization
Organization Name:POSITIVE PROSPECTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OSARETIN
Authorized Official - Middle Name:
Authorized Official - Last Name:UHUNOMA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:651-354-4119
Mailing Address - Street 1:6803 S WESTERN AVE
Mailing Address - Street 2:STE #305
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73139-1808
Mailing Address - Country:US
Mailing Address - Phone:405-636-4306
Mailing Address - Fax:
Practice Address - Street 1:6803 S WESTERN AVE
Practice Address - Street 2:STE #305
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-1808
Practice Address - Country:US
Practice Address - Phone:405-636-4306
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-27
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health