Provider Demographics
NPI:1235802992
Name:A POSITIVE PARADIGM THERAPY, LLC
Entity Type:Organization
Organization Name:A POSITIVE PARADIGM THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAMESHA
Authorized Official - Middle Name:HARP
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:678-829-2099
Mailing Address - Street 1:2410 VILLAGE GREEN DR
Mailing Address - Street 2:
Mailing Address - City:FAIRBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30213-5106
Mailing Address - Country:US
Mailing Address - Phone:678-829-2099
Mailing Address - Fax:
Practice Address - Street 1:2410 VILLAGE GREEN DR
Practice Address - Street 2:
Practice Address - City:FAIRBURN
Practice Address - State:GA
Practice Address - Zip Code:30213-5106
Practice Address - Country:US
Practice Address - Phone:678-829-2099
Practice Address - Fax:678-882-3453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)