Organization
POSITIVELY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AKIKO-AYALLA COOKS (OWNER)
(626) 367-2366
Entity
Organization
Contact information
Practice address
5071 N RAINBOW BLVD #170, LAS VEGAS, NV 89130
(626) 367-2366
Mailing address
5071 N RAINBOW BLVD STE 170, LAS VEGAS, NV 89130-1688
(626) 367-2366
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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