Positive Direction Counseling Center

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC001563 Issued in GA

Legal business name

POSITIVE DIRECTION COUNSELING CENTER

Practice address

175 Lakeshore Cir SE
Acworth, GA 30101-3237

Phone

(770) 318-3727

Fax

(770) 485-9228

NPI assigned

Dec 20, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Bobby Frederick, LPC, ICADC

Title

President

Phone

(770) 318-3727

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1811233711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 LAKESHORE CIR SE",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301013237",
            "telephone_number": "770-318-3727",
            "fax_number": "770-485-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 LAKESHORE CIR SE",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301013237",
            "telephone_number": "770-318-3727",
            "fax_number": "770-485-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE DIRECTION COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-318-3727",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, ICADC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC001563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Acworth, GA
• Providers in Acworth, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.