POSITIVE IMPACT RESIDENTIAL SERVICES
NPI 1487079562
Clinic/Center - Mental Health (Including Community Mental Health Center) in Decatur, GA

Q: What is Positive Impact Residential Services's NPI number?

The NPI number for Positive Impact Residential Services is 1487079562. It was assigned to this organization in the NPPES registry on February 25, 2014.

Q: What is Positive Impact Residential Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since February 25, 2014

2189 W PONCE DE LEON AVE, DECATUR, GA 30030(678) 887-3263(404) 687-9871 Get Directions Write a Review

NPPES record last updated: February 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Positive Impact Residential Services NPPES

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

POSITIVE IMPACT RESIDENTIAL SERVICES (NPI 1487079562) is a healthcare organization registered as a mental health (including community mental health center) in Decatur, Georgia and active in the NPI registry since February 2014. The organization lists Wax Flowers, Lcsw/owner, as its authorized official.

NPPES Registry Identity

NPI1487079562

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NamePOSITIVE IMPACT RESIDENTIAL SERVICES

Location Address2189 W PONCE DE LEON AVEDecatur, GA 30030-2334

Mailing Address2189 W Ponce De Leon AveDecatur, GA 30030-2334 · (678) 887-3263 · Fax (404) 687-9871

Phone(678) 887-3263

Fax(404) 687-9871

Organization SubpartNo

Authorized OfficialWax FlowersLcsw/owner · (866) 730-7604

Enumeration DateFebruary 25, 2014

✔ NPI 1487079562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

License✔ Licensed in GA · CSW002378

2189 W PONCE DE LEON AVE, Decatur, GA 30030

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Other Providers at the Same Location NPPES

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

WAX D FLOWERS LCSW

Social Worker (Clinical)

2189 W PONCE DE LEON AVE
DECATUR, GA 30030

Dekalb County (678) 887-3263

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Positive Impact Residential Services's NPI number?

The NPI number for Positive Impact Residential Services is 1487079562. It was assigned to this organization in the NPPES registry on February 25, 2014.

Where is Positive Impact Residential Services located?

Positive Impact Residential Services is located at 2189 W Ponce De Leon Ave, Decatur, GA 30030. The listed phone number is (678) 887-3263.

What is Positive Impact Residential Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Positive Impact Residential Services was last updated on February 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.