Positive Steps Residential Service, Inc

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL-033-057 Issued in NC

Legal business name

POSITIVE STEPS RESIDENTIAL SERVICE, INC

Practice address

464 Ridgewood Rd
Tarboro, NC 27886-9066

Phone

(252) 567-3462

Fax

(252) 823-5618

NPI assigned

Jun 20, 2008

Organization subpart

No

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

Authorized official

Name

Mr. William Kirby Powell

Title

Owner/Operator

Phone

(252) 567-3462

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1932360039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 NC HIGHWAY 33 E",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278868927",
            "telephone_number": "252-567-3462",
            "fax_number": "252-823-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 RIDGEWOOD RD",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278869066",
            "telephone_number": "252-567-3462",
            "fax_number": "252-823-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE STEPS RESIDENTIAL SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "KIRBY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "252-567-3462",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-033-057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burklee Pittman, LCMHC, LCAS
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• Edward Tremayne Powell
• Jerry W. Price, D.D.S.
• Jennifer Leigh Pridgen, PTA
• Ashley Nicole Privett, COTA/L
• Prosource Therapeutics, LLC

• Emotionally Disturbed Childrens' Residential Treatment Facility in Tarboro, NC
• Providers in Tarboro, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.