POSITIVE GROWTH, INC. - NPI 1386922722 - Community/Behavioral Health in Clarkston, GA

Q: What is Positive Growth, Inc.'s NPI number?

The NPI number for Positive Growth, Inc. is 1386922722. It was assigned to this organization in the NPPES registry on August 3, 2011.

Q: What is Positive Growth, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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About Positive Growth, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POSITIVE GROWTH, INC. (NPI 1386922722) is a healthcare organization registered as a community/behavioral health in Clarkston, Georgia and active in the NPI registry since August 2011. The organization holds a CLIA Waiver certificate valid through January 28, 2027 and lists Kimberly R Veira, Clinical Program Director, as its authorized official.

NPPES Registry Identity

NPI1386922722

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NamePOSITIVE GROWTH, INC.

Location Address3660 MARKET STClarkston, GA 30021-1246

Mailing Address3660 Market StClarkston, GA 30021-1246 · (404) 298-9005 · Fax (404) 298-0046

Phone(404) 298-9005

Fax(404) 298-0046

Organization SubpartNo

Authorized OfficialKimberly R VeiraClinical Program Director · (404) 298-9005

Enumeration DateAugust 3, 2011

✔ NPI 1386922722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in GA · 582299589

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.

3660 MARKET ST, Clarkston, GA 30021

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Other Identifiers 1

Medicaid276791400AGA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2090751

Positive Growth · Clarkston, GA

Active · expires Jan 28, 2027

CLIA Number11D2090751

Laboratory TypeOut. Drug/Alc Trmt/Ed

Certificate Effective DateJanuary 29, 2025

Certificate Expiration DateJanuary 28, 2027

Laboratory DirectorKimberly Veira

Laboratory Phone(404) 298-9005

Laboratory LocationPositive Growth945 N Indian Creek Drive, Clarkston, GA 30021

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIFELINE MEDICAL CENTER, LLC

Family Medicine