Organization Active NPI

Positive Directions Counseling & Behavioral Health Services, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Decatur, GA
National Provider Identifier
1750619177
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
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

Updated by the provider on Feb 16, 2011

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.