Healthcare Provider Details

I. General information

NPI: 1740103183
Provider Name (Legal Business Name): POSITIVE ELEVATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

461 BEST FRIENDS TURN ALY
MCDONOUGH GA
30252-4844
US

IV. Provider business mailing address

2100 WESTSHORE DR STE 1006
CUMMING GA
30041-9277
US

V. Phone/Fax

Practice location:
  • Phone: 770-758-2357
  • Fax: 770-658-2987
Mailing address:
  • Phone: 770-758-2357
  • Fax: 770-658-2987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. ADRIAN SIMONE GAITHER
Title or Position: COUNSELOR
Credential: LPC
Phone: 770-758-2357