Active NPI
Positive Outlook, LLP
- Speech-Language Pathologist
- Jonesboro, GA
National Provider Identifier
1750444964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP005435
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00972573B | Medicaid | GA |
Other names 1
- Positive Outlook, INC
National Provider Directory
National Provider DirectoryLocations
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.