Positive Lifestyles Counseling Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW6954 Issued in FL

Legal business name

POSITIVE LIFESTYLES COUNSELING CENTER

Practice address

1637 Race Track Rd
Jacksonville, FL 32259-3239

Phone

(904) 436-6210

Fax

(904) 436-6212

NPI assigned

Dec 10, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Atiya Bano Day, LCSW

Title

President

Phone

(904) 436-6210

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1720486533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 RACE TRACK RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322593239",
            "telephone_number": "904-436-6210",
            "fax_number": "904-436-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 RACE TRACK RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322593239",
            "telephone_number": "904-436-6210",
            "fax_number": "904-436-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE LIFESTYLES COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "ATIYA",
        "authorized_official_middle_name": "BANO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-436-6210",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine E Poruk, MD
• Teresa Zenaida Posadas, APRN
• Positive Behavioral Solutions LLC
• Positive Change Mental Health LLC
• Positive Development, LLC
• Post Acute Care Specialists LLC
• Post Surgical Services LLC
• Katrin Post-Martens, M.D.
• Kathryn Spencer Post, LMHC
• Michelle A Post, LMFT, CTBS

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.