Positive Growth, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

582299589 Issued in GA

Legal business name

POSITIVE GROWTH, INC.

Practice address

3660 Market St
Clarkston, GA 30021-1246

Phone

(404) 298-9005

Fax

(404) 298-0046

NPI assigned

Aug 3, 2011

Last updated

Aug 3, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kimberly R Veira, LCSWNPI 1942638747

Title

Clinical Program Director

Phone

(404) 298-9005

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Veira, LCSW

  • Clinical Social Worker
  • Clarkston, GA
  • NPI 1942638747
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1386922722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 MARKET ST",
            "city": "CLARKSTON",
            "state": "GA",
            "postal_code": "300211246",
            "telephone_number": "404-298-9005",
            "fax_number": "404-298-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 MARKET ST",
            "city": "CLARKSTON",
            "state": "GA",
            "postal_code": "300211246",
            "telephone_number": "404-298-9005",
            "fax_number": "404-298-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE GROWTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "VEIRA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINICAL PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "404-298-9005",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "582299589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276791400A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Clarkston, GA
• Providers in Clarkston, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.