Active NPI
Positive Therapeutic Concepts, LLC
- Community/Behavioral Health Agency
- Fort Mill, SC
National Provider Identifier
1598044885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 4958
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Professional Counselor
- Charlotte, NC
- NPI 1932327038
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.