Positive Generation in Christ, Incorporated

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

POSITIVE GENERATION IN CHRIST, INCORPORATED

Practice address

608 Gregg Ave # 102103
Florence, SC 29501-4317

Phone

(252) 641-4522

Fax

(252) 641-5461

NPI assigned

Sep 20, 2019

Last updated

Jun 7, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

POSITIVE GENERATION IN CHRIST, INCORPORATEDAs reported in NPPES

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

Authorized official

Name

Immacula Saint Louis, MD

Title

Medical Director

Phone

(843) 879-4763

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Tax ID family

Positive Generation in Christ Incorporated2 organizations share this tax ID, including this one

Part of

Positive Generation in Christ Incorporated

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Positive Generation in Christ, Incorporated

  dba PGIC Inc

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1841846615
  NPD tax ID

Locations

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1245881366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1634",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278861634",
            "telephone_number": "252-641-4522",
            "fax_number": "252-641-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 GREGG AVE # 102103",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014317",
            "telephone_number": "252-641-4522",
            "fax_number": "252-641-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE GENERATION IN CHRIST, INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POSITIVE GENERATION IN CHRIST, INCORPORATED",
        "enumeration_date": "2019-09-20",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "SAINT LOUIS",
        "authorized_official_first_name": "IMMACULA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "843-879-4763",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942562541",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP9424",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Florence",
            "affiliation": "Y",
            "endpointDescription": "additional location",
            "affiliationName": "Positive Generation in Christ, Incorporated",
            "address_1": "608 Gregg Ave Ste 102103",
            "city": "Florence",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295014317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah Lynn Porter
• Shawana Porter, MA, LPC
• Brian David Porzio, D.C.
• Stacey Porzio, RN
• Positive Change
• Positive Influences, Inc
• Positive Solutions Counseling Services
• Positive Solutions Counseling, LLC
• Elizabeth Blackwell Poston, LMSW
• Jessica Morgan Poston, P.T.

• Community/Behavioral Health Agency in Florence, SC
• Providers in Florence, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.