MEDICARE: POSITIVE OUTCOMES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1851117683
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POSITIVE OUTCOMES, LLC

Provider Business Mailing Address
First Line	:	3591 GREEN BRIAR COVE RD
Second Line	:
City	:	UNION GROVE
State	:	AL
Zip	:	35175-9219
Country	:	US
Telephone Number	:	256-947-0021
Fax Number	:

Provider Business Practice Location Address
First Line	:	3591 GREEN BRIAR COVE RD
Second Line	:
City	:	UNION GROVE
State	:	AL
Zip	:	35175-9219
Country	:	US
Telephone Number	:	256-947-0021
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	DR. MELINDA SUTTON-GRIFFIN
Credential	:	DNP, CRNP
Telephone Number	:	256-947-0021

Provider Enumeration Date	:	11/26/2024
Last Update Date	:	11/26/2024

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Directions to “POSITIVE OUTCOMES, LLC ” Practice Location

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