Healthcare Provider Details

I. General information

NPI: 1508791807
Provider Name (Legal Business Name): POSITIVE ALTERNATIVE CONSULTING SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6618 CRESTVIEW CIR
STOCKTON CA
95219-7196
US

IV. Provider business mailing address

6618 CRESTVIEW CIR
STOCKTON CA
95219-7196
US

V. Phone/Fax

Practice location:
  • Phone: 209-321-5634
  • Fax:
Mailing address:
  • Phone: 209-321-5634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number
License Number State

VIII. Authorized Official

Name: MIKESHA RAQUEL OKOROJI
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 209-321-5634