MEDICARE: A POSITIVE ALTERNATIVE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	17044000	WA
2	251S00000X	Community/Behavioral Health Agency	17044000	WA
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
4	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	BHA.FS.60873798	OTHER	WA	DEPTARTMENT OF HEALTH
2	BHA.FS.61387467	OTHER	WA	DEPARTMENT OF HEALTH

General Provider Information

NPI Number	:	1043597313
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A POSITIVE ALTERNATIVE

Provider Business Mailing Address
First Line	:	4649 SUNNYSIDE AVE N
Second Line	:	SUITE 200
City	:	SEATTLE
State	:	WA
Zip	:	98103-6900
Country	:	US
Telephone Number	:	206-535-8860
Fax Number	:	206-547-5187

Provider Business Practice Location Address
First Line	:	4649 SUNNYSIDE AVE N
Second Line	:	SUITE 200
City	:	SEATTLE
State	:	WA
Zip	:	98103-6900
Country	:	US
Telephone Number	:	206-547-2996
Fax Number	:	206-547-5187

Authorized Official
Title or Position	:	ADMINISTRATIVE DIRECTOR
Name	:	MARTHA MUNROE LAYZER
Credential	:
Telephone Number	:	206-535-8860

Provider Enumeration Date	:	11/14/2011
Last Update Date	:	06/06/2023

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Directions to “A POSITIVE ALTERNATIVE ” Practice Location

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