Positive Living Choices LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

POSITIVE LIVING CHOICES LLC

Practice address

1735 Monticello St
Petersburg, VA 23805-1640

Phone

(704) 726-7780

NPI assigned

Aug 27, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Carlos Wilkins

Title

Co-Owner

Phone

(804) 647-4358

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1205184157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 303",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238340303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 MONTICELLO ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238051640",
            "telephone_number": "704-726-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE LIVING CHOICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "804-647-4358",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Shaquille Poitier
• Carole Ann Pollard, CPHT
• Carol Pond
• Alva Carter Pope, LCSW
• Positive Changes LLC
• Kamil Potaczala
• Lord Z Powell
• Catherine Alease Price
• Elizabeth Yvette Price, LPN
• Rachelle Mone Price

• Emotionally Disturbed Childrens' Residential Treatment Facility in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.