Provider Demographics
NPI:1619584877
Name:POSITIVE GROWTH, PLLC
Entity Type:Organization
Organization Name:POSITIVE GROWTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARLTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:804-210-2402
Mailing Address - Street 1:5031 KING COTTON LN
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-2853
Mailing Address - Country:US
Mailing Address - Phone:804-617-0287
Mailing Address - Fax:
Practice Address - Street 1:2540 PROFESSIONAL RD STE 5
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-3213
Practice Address - Country:US
Practice Address - Phone:804-210-2402
Practice Address - Fax:804-302-6436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-30
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty