Healthcare Provider Details

I. General information

NPI: 1902463367
Provider Name (Legal Business Name): A POSITIVE YOU TODAY CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2019
Last Update Date: 07/08/2024
Certification Date: 07/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 SNAPFINGER WOODS DR STE 208
DECATUR GA
30035-3417
US

IV. Provider business mailing address

4150 SNAPFINGER WOODS DR STE 208
DECATUR GA
30035-3417
US

V. Phone/Fax

Practice location:
  • Phone: 404-975-4684
  • Fax: 404-592-6438
Mailing address:
  • Phone: 404-975-4684
  • Fax: 404-592-6438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MAGGIE COSBY
Title or Position: CEO
Credential:
Phone: 404-975-4684