Active NPI
Positive Directions Counseling & Behavioral Health Services, Inc.
- Adolescent and Children Mental Health Clinic/Center
- Decatur, GA
National Provider Identifier
1750619177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- POSITIVE DIRECTIONS COUNSELING & BEHAVIORAL HEALTH SERVICES, INC.
- Practice address
- 4282 Memorial Dr Ste C
Decatur, GA 30032-1218 - Phone
- (404) 319-2631
- Fax
- (770) 681-0643
- NPI assigned
- Nov 23, 2009
- 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
- Mr. Cortim Martin
- Title
- President/Ceo
- Phone
- (404) 319-2631
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Primary |
Addresses
Primary practice location
4282 Memorial Dr Ste C
Decatur, GA 30032-1218
Mailing address
3130 Christophers BND
Ellenwood, GA 30294-3846
National Provider Directory
National Provider DirectoryLocations
4282 Memorial Dr
Ste C
Decatur, GA 30032
Phone (404) 319-2631
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Decatur, GA
- NPI 1912206905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297814400000",
"number": "1750619177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3130 CHRISTOPHERS BND",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302943846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4282 MEMORIAL DR STE C",
"city": "DECATUR",
"state": "GA",
"postal_code": "300321218",
"telephone_number": "404-319-2631",
"fax_number": "770-681-0643"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POSITIVE DIRECTIONS COUNSELING & BEHAVIORAL HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-23",
"last_updated": "2011-02-16",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "CORTIM",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "404-319-2631",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.