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Organization

POSITIVE OUTCOMES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TARA JARAMILLO MA- CCC- SLP (CEO AND SLP)
(575) 838-0800
Entity
Organization

Contact information

Practice address
1115 N CALIFORNIA ST, SOCORRO, NM 87801-4265
(575) 838-0800
(575) 838-3999
Mailing address
PO BOX 642, 1115 NORTH CALIFORNIA STREET, SOCORRO, NM 87801-0642
(575) 838-0800
(575) 838-3999

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TC2200X
Clinical Child & Adolescent Psychologist
171WH0202X
Home Modifications Contractor
NM
225100000X
Physical Therapist
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
006549
NM
235Z00000X
Speech-Language Pathologist
1487
NM
3747P1801X
Personal Care Attendant
Primary
385HR2065X
Child Physical Disabilities Respite Care
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00P3051
NM
05
69676577
NM
05
800521047
NM
05
88722520
NM
05
D4005
NM
Enumeration date
02/08/2007
Last updated
05/04/2026
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