Provider Demographics
NPI:1306296876
Name:POSITIVE METHODS MINDFUL COUNSELING & FAMILY SERVICES INC.
Entity type:Organization
Organization Name:POSITIVE METHODS MINDFUL COUNSELING & FAMILY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:TATIANA
Authorized Official - Last Name:STURM
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:888-512-6867
Mailing Address - Street 1:7056 ARCHIBALD AVE STE 442
Mailing Address - Street 2:
Mailing Address - City:EASTVALE
Mailing Address - State:CA
Mailing Address - Zip Code:92880-8713
Mailing Address - Country:US
Mailing Address - Phone:951-324-4644
Mailing Address - Fax:888-859-0638
Practice Address - Street 1:2741 HAMNER AVE STE 202
Practice Address - Street 2:
Practice Address - City:NORCO
Practice Address - State:CA
Practice Address - Zip Code:92860-3630
Practice Address - Country:US
Practice Address - Phone:888-512-6867
Practice Address - Fax:951-339-3621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-15
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X, 106H00000X
CALMFT 53939261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty