Organization Active NPI

Positive Therapeutic Concepts, LLC

  • Community/Behavioral Health Agency
  • Fort Mill, SC
National Provider Identifier
1598044885
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4958 Issued in SC
Legal business name
POSITIVE THERAPEUTIC CONCEPTS, LLC
Practice address
130 Ben Casey Dr
Suite 102
Fort Mill, SC 29708
Phone
(803) 378-2895
NPI assigned
Aug 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Authorized official

Name
Geneva A Clark
Title
Therapist
Phone
(803) 378-2895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 4958 SC Primary

Addresses

Primary practice location

130 Ben Casey Dr
Suite 102
Fort Mill, SC 29708

Mailing address

2510 Caprock CT
Charlotte, NC 28213-5260
Phone (803) 378-2895

National Provider Directory

National Provider Directory

Locations

130 Ben Casey Dr
Ste 102
Fort Mill, SC 29708
Phone (803) 378-2895

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1598044885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 CAPROCK CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282135260",
            "telephone_number": "803-378-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 BEN CASEY DR",
            "address_2": "SUITE 102",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "29708",
            "telephone_number": "803-378-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE THERAPEUTIC CONCEPTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "GENEVA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "803-378-2895"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "4958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.