NPIMap

Organization Active NPI

Positive Transformations Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Thibodaux, LA
National Provider Identifier
1669931051
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
POSITIVE TRANSFORMATIONS HEALTH SERVICES
Practice address
2590 Highway 1
Thibodaux, LA 70301-5843
Phone
(985) 313-1093
Fax
(985) 313-1093
NPI assigned
Mar 15, 2019
Last updated
Dec 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Authorized official

Name
Dr. Maisha Roneal Davis, LPCNPI 1881082089
Title
Licensed Professional Counselor
Phone
(985) 313-1093

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2590 Highway 1
Thibodaux, LA 70301-5843

Mailing address

2590 Highway 1
Thibodaux, LA 70301-5843
Phone (985) 313-1093

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1669931051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 HIGHWAY 1",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703015843",
            "telephone_number": "985-313-1093",
            "fax_number": "985-313-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 HIGHWAY 1",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703015843",
            "telephone_number": "985-313-1093",
            "fax_number": "985-313-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE TRANSFORMATIONS HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MAISHA",
        "authorized_official_middle_name": "RONEAL",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "985-313-1093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.