Active NPI
Positive Growth & Wellness LLC
- Case Management Agency
- Jackson, MS
National Provider Identifier
1821719584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- POSITIVE GROWTH & WELLNESS LLC
- Practice address
- 4780 I 55 N
Jackson, MS 39211-5542 - Phone
- (601) 873-8052
- NPI assigned
- Sep 9, 2022
- 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
- Janice Leonard
- Title
- Director
- Phone
- (601) 873-8052
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X |
Addresses
Primary practice location
4780 I 55 N
Jackson, MS 39211-5542
Mailing address
4780 I 55 N
Jackson, MS 39211-5542
Phone (601) 873-8052
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662681600000",
"number": "1821719584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4780 I 55 N",
"city": "JACKSON",
"state": "MS",
"postal_code": "392115542",
"telephone_number": "601-873-8052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4780 I 55 N",
"city": "JACKSON",
"state": "MS",
"postal_code": "392115542",
"telephone_number": "601-873-8052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POSITIVE GROWTH & WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-09",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A",
"authorized_official_last_name": "LEONARD",
"authorized_official_first_name": "JANICE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "601-873-8052"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.