Provider Demographics
NPI:1528334562
Name:POSITIVE OUTCOMES LLC
Entity type:Organization
Organization Name:POSITIVE OUTCOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DUSTIN
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:HOLCOMB
Authorized Official - Suffix:I
Authorized Official - Credentials:BCBA
Authorized Official - Phone:970-219-9089
Mailing Address - Street 1:PO BOX 62186
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80962-2186
Mailing Address - Country:US
Mailing Address - Phone:719-344-8756
Mailing Address - Fax:720-465-2744
Practice Address - Street 1:4122 SPANISH OAKS TRL
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108-7413
Practice Address - Country:US
Practice Address - Phone:719-344-8756
Practice Address - Fax:720-465-2744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0006444101YP2500X
COMFT.0000969106H00000X
1-11-8400103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty