Organization Active NPI

Positive Impact Therapeutic Solutions, LLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1851631550
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
POSITIVE IMPACT THERAPEUTIC SOLUTIONS, LLC
Practice address
9216 Moores Chapel Rd
Charlotte, NC 28214-8738
Phone
(704) 713-3924
NPI assigned
Feb 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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

Authorized official

Name
Ms. Tylicia Donyelle Lee
Title
Owner
Phone
(704) 713-3924

Specialties & licenses 1

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

Addresses

Primary practice location

9216 Moores Chapel Rd
Charlotte, NC 28214-8738

Mailing address

9216 Moores Chapel Rd
Charlotte, NC 28214-8738

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361145600000",
    "number": "1851631550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9216 MOORES CHAPEL RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282148738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9216 MOORES CHAPEL RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282148738",
            "telephone_number": "704-713-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE IMPACT THERAPEUTIC SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-18",
        "last_updated": "2013-02-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "TYLICIA",
        "authorized_official_middle_name": "DONYELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-713-3924",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.