Provider Demographics
NPI:1780981530
Name:POSITIVE SOLUTIONS YOUTH & FAMILY SERVICES INC
Entity type:Organization
Organization Name:POSITIVE SOLUTIONS YOUTH & FAMILY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LARRENDA
Authorized Official - Middle Name:D
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS,LPC,LADC(CAND)
Authorized Official - Phone:405-863-5724
Mailing Address - Street 1:5724 SE 86TH
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:N/A
Mailing Address - Zip Code:73135
Mailing Address - Country:UM
Mailing Address - Phone:405-864-5724
Mailing Address - Fax:
Practice Address - Street 1:5724 SE 86TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73135-6025
Practice Address - Country:US
Practice Address - Phone:405-863-5724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-14
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251B00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management