POSITIVE GROWTH, INC. (NPI# 1386922722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386922722 |
| Entity Type | Organization |
| Organization Name | POSITIVE GROWTH, INC. |
| Practice Address |
3660 Market St Clarkston GA 30021-1246 |
| Practice Telephone | 4042989005 |
| Practice Fax Number | 4042980046 |
| Mailing Telephone | 4042989005 |
| Mailing Fax Number | 4042980046 |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-03 |
| Authorized Official Name | MRS. KIMBERLY R VEIRA (CLINICAL PROGRAM DIRECTOR) |
| Authorized Official Telephone | 4042989005 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 582299589 | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 276791400A | 05 |
| Street Address |
3660 MARKET ST |
| City | CLARKSTON |
| State | GA |
| Zip Code | 30021-1246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326657560 | Anum Mushtaq Gaffar | Family Medicine | 3660 Market St, Clarkston, GA 30021-1246 | 2020-07-23 |
| 1790331833 | Rucha Dalsania | Nurse Practitioner | 3660 Market St, Clarkston, GA 30021-1246 | 2019-08-14 |
| 1134686207 | Jennifer Wahida Mandhai | Nurse Practitioner | 3660 Market St, Clarkston, GA 30021-1246 | 2019-02-26 |
| 1689161127 | Payal Brahmbhatt | Physician Assistant | 3660 Market St, Clarkston, GA 30021-1246 | 2018-04-19 |
| 1720527096 | Nida Rupani | Nurse Practitioner | 3660 Market St, Clarkston, GA 30021-1246 | 2017-02-19 |
| 1629474796 | Lifeline Medical Center, LLC | Family Medicine | 3660 Market St, Clarkston, GA 30021-1246 | 2014-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578081808 | Marqueta A Coffer | Case Manager/Care Coordinator | 1380 Brockett Pl, Clarkston, GA 30021 | 2017-09-07 |
| 1063965143 | Bertukan Worku Demas | Pharmacist | 3671 Cobble Mill Ln, Clarkston, GA 30021 | 2016-07-26 |
| 1912341967 | Esther Kim | Family Medicine | 887 N Indian Creek Dr Ste A, Clarkston, GA 30021 | 2013-04-22 |
| 1265739437 | Carepoint Home Care, LLC | In Home Supportive Care | 4122 E Ponce Deleon Avenue, Unit 9, Clarkston, GA 30021 | 2011-02-23 |
| 1790956530 | Thu D. Vu | Dentist | 3596 Hill Street, Clarkston, GA 30021 | 2008-03-20 |
| 1740310630 | Gentle Dental | Dentist | 3595 Hill St., Clarkston, GA 30021 | 2007-03-07 |
| 1679528491 | Ojoru Osunkoya | Pediatrics | 4112 E. Ponce De Leon, Clarkston, GA 30021 | 2006-05-23 |
| 1700849825 | Regina Allen Hardin | Pediatrics | 4112 E. Ponce De Leon Avenue, Clarkston, GA 30021 | 2006-04-10 |
| 1831514538 | Caudelle & Wilson Eye Care LLC | Optometrist | 320 N Jeff Davis Drive, Suite A, Fayetteville, GA 30021 | 2014-03-04 |
| 1881865624 | Vanessa Phan | Dentist | 3596 Hill Street, Clarkston, GA 30021 | 2008-03-20 |
| Find all providers in zip 30021 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578014627 | Progressive Lifestyle Inc | Community/Behavioral Health | 6969 Tappon Dr, Clarkston, MI 48346-2631 | 2016-10-24 |
| 1457802506 | Progressive Lifestyle Inc | Community/Behavioral Health | 8118 Fawn Valley Dr, Clarkston, MI 48348-4542 | 2016-10-24 |
| 1285185330 | Progressive Lifestyle Inc | Community/Behavioral Health | 5175 Timber Ridge Trl, Clarkston, MI 48346-3854 | 2016-10-24 |
| 1801347158 | Progressive Lifestyle Inc | Community/Behavioral Health | 6635 Laurelton, Clarkston, MI 48346-2304 | 2016-10-21 |
| 1982155644 | Progressive Lifestyle Inc | Community/Behavioral Health | 6463 Church St, Clarkston, MI 48346-2121 | 2016-10-18 |
| 1467903112 | Progressive Lifestyles Inc | Community/Behavioral Health | 8665 N Eston Rd, Clarkston, MI 48348-3514 | 2016-10-18 |
| 1457802118 | Progressive Lifestyle Inc | Community/Behavioral Health | 8300 Oak Hill Rd, Clarkston, MI 48348-1031 | 2016-10-18 |
| 1194176503 | Melissa Reich | Community/Behavioral Health | 6640 Pine Knob Rd, Clarkston, MI 48348-5137 | 2016-06-27 |
| 1649635087 | Coddaire & Associates, Inc. | Community/Behavioral Health | 6445 Citation Drive, Suite H, Clarkston, MI 48346 | 2015-12-30 |
| 1194115840 | Resolution Counseling | Community/Behavioral Health | 5840 Lorac Dr Ste 5, Clarkston, MI 48346-2915 | 2015-02-03 |
| Find all providers in CLARKSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.