Provider Demographics
NPI:1659180651
Name:POSITIVE OPTIONS
Entity type:Organization
Organization Name:POSITIVE OPTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:R
Authorized Official - Last Name:EAGLE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LICSW, AADC
Authorized Official - Phone:304-646-8476
Mailing Address - Street 1:284 NOLEN LN
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:24991-7223
Mailing Address - Country:US
Mailing Address - Phone:304-646-8476
Mailing Address - Fax:
Practice Address - Street 1:149 GOHEEN ST STE 6
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:WV
Practice Address - Zip Code:24901-1662
Practice Address - Country:US
Practice Address - Phone:304-646-8476
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty