Organization Active NPI

Positive Outlook, LLP

  • Speech-Language Pathologist
  • Jonesboro, GA
National Provider Identifier
1750444964
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP005435 Issued in GA
Legal business name
POSITIVE OUTLOOK, LLP
Practice address
696 Mount Zion Rd
Suite 3B
Jonesboro, GA 30236-1597
Phone
(404) 381-4108
Fax
(404) 381-3043
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Authorized official

Name
Lawanda Reese, M.S., CCC-SLP
Title
Speech-Language Pathologist
Phone
(404) 381-4108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SLP005435 GA Primary

Addresses

Primary practice location

696 Mount Zion Rd
Suite 3B
Jonesboro, GA 30236-1597

Mailing address

2451 Cumberland Pkwy SE
Suite 3606
Atlanta, GA 30339-6136
Phone (404) 381-4108

Other identifiers 1

IdentifierTypeStateIssuer
00972573BMedicaidGA

Other names 1

  • Positive Outlook, INC Other name

National Provider Directory

National Provider Directory

Locations

2451 Cumberland Pkwy SE
Ste 3606
Atlanta, GA 30339

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1750444964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 CUMBERLAND PKWY SE",
            "address_2": "SUITE 3606",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396136",
            "telephone_number": "404-381-4108",
            "fax_number": "404-381-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 MOUNT ZION RD",
            "address_2": "SUITE 3B",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361597",
            "telephone_number": "404-381-4108",
            "fax_number": "404-381-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE OUTLOOK, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "LAWANDA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "404-381-4108",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00972573B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Positive Outlook, INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.