# POSITIVELY THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316501596
- **Authorized official:** MISS AKIKO-AYALLA COOKS (OWNER)
- **Authorized official phone:** (626) 367-2366

## Contact information

- **Practice address:** 5071 N RAINBOW BLVD \#170, LAS VEGAS, NV 89130
- **Practice address phone:** (626) 367-2366
- **Mailing address:** 5071 N RAINBOW BLVD STE 170, LAS VEGAS, NV 89130-1688
- **Mailing address phone:** (626) 367-2366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 04/23/2019
- **Last updated:** 04/23/2019
