Positive Pathways Behavioral Health: Treatment and Recovery, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

POSITIVE PATHWAYS BEHAVIORAL HEALTH: TREATMENT AND RECOVERY, LLC

Doing business as

PPBH: Treatment and Recovery

Practice address

345 Edgewood Terrace Dr
Jackson, MS 39206-6217

Phone

(601) 738-5820

Fax

(601) 738-5083

NPI assigned

Jan 8, 2022

Organization subpart

No

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

Authorized official

Name

Timeka She'Ree Wright, LPCNPI 1013390640

Title

Executive Director

Phone

(601) 738-5820

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PPBH: Treatment and Recovery Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timeka She'Ree Wright, M.S, LPC, NCC

  • Professional Counselor
  • Monroe, LA
  • NPI 1013390640

  MS

  Medicare reassignment NPD Authorized official
• Kayla Mayze

  • Case Manager/Care Coordinator
  • Jackson, MS
  • NPI 1164229308
  NPD

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

{
    "created_epoch": "1641600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714262400000",
    "number": "1962163287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 JOHNSTONE DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107687",
            "telephone_number": "601-813-5878",
            "fax_number": "601-738-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 EDGEWOOD TERRACE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392066217",
            "telephone_number": "601-738-5820",
            "fax_number": "601-738-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE PATHWAYS BEHAVIORAL HEALTH: TREATMENT AND RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-08",
        "last_updated": "2024-04-28",
        "certification_date": "2024-04-28",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "TIMEKA",
        "authorized_official_middle_name": "SHE'REE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "601-738-5820",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00424763",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "positivepathwaysbh@gmail.com",
            "affiliation": "N",
            "endpointDescription": "ppbhTR email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1905A Mission 66 Ste 5",
            "city": "Vicksburg",
            "state": "MS",
            "country_code": "US",
            "postal_code": "391803703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PPBH: Treatment and Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PPBH: Treatment and Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raymond L. Portis, M.D.
• Kristen Posey, NP-C
• Positive Growth & Wellness LLC
• Positive Living Inc (Utopia Assisted Living)
• Positive Living, Inc.
• Potters House Church (Molding Minds)
• Janskey Potts
• Denise Goodwin Pouncey, AU.D.
• Charles Pound, MD
• Christopher Powe, NP

• Substance Abuse Rehabilitation Facility in Jackson, MS
• Providers in Jackson, MS by specialty
• Substance Abuse Rehabilitation Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.