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POSITIVE IMPACT INC. NPI 1144315946


NPI Information

NPI: 1144315946
Provider Name: POSITIVE IMPACT, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 11D2157072

Address:
139 RALPH MCGILL BLVD NE
SUITE #301
ATLANTA, GA
ZIP 30308
Phone: (404) 589-9040
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POSITIVE IMPACT, INC. is a community behavioral health in Atlanta, GA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. POSITIVE IMPACT, INC. NPI is 1144315946. The provider is registered as an organization entity type.

The provider's business location address is:

139 RALPH MCGILL BLVD NE
SUITE #301
ATLANTA, GA
ZIP 30308-339
Phone: (404) 589-9040
Fax: (404) 589-1615

The provider's authorized official is Paul L Plate .
The authorized official title is Executive Director and has the following contact phone number (404) 589-9040.

The CLIA number assigned to this NPI record is 11D2157072 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthGEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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