POSITIVE GENERATION IN CHRIST, INCORPORATED (NPI# 1245881366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245881366 |
| Entity Type | Organization |
| Organization Name | POSITIVE GENERATION IN CHRIST, INCORPORATED |
| Practice Address |
608 Gregg Ave # 102103 Florence SC 29501-4317 |
| Mailing Address |
Po Box 1634 Tarboro NC 27886-1634 |
| Practice Telephone | 2526414522 |
| Practice Fax Number | 2526415461 |
| Mailing Telephone | 2526414522 |
| Mailing Fax Number | 2526415461 |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |
| Authorized Official Name | IMMACULA SAINT LOUIS (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2526414522 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | POSITIVE GENERATION IN CHRIST, INCORPORATED |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1942562541 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841846615 | Positive Generation In Christ, Incorporated | Clinic/Center | 109 Beacon Rd, Baltimore, MD 21220-3504 | 2019-08-16 |
| 1942562541 | Positive Generation In Christ, Incorporated | Counselor | 2901 N Main St, Tarboro, NC 27886-1920 | 2012-06-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | POSITIVE GENERATION IN CHRIST, INCORPORATED | 2100 N Main St, Tarboro, NC 27886-2135 |
| Street Address |
608 GREGG AVE # 102103 |
| City | FLORENCE |
| State | SC |
| Zip Code | 29501-4317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700350444 | Angel Edwards Brown | Nurse Practitioner | Mcleod Health, 555 East Cheves Street, Florence, SC 29501 | 2019-01-16 |
| 1497229124 | Fred L. Evans IIi | Physical Therapy Assistant | 2439 Willwood Dr., Florence, SC 29501 | 2019-01-16 |
| 1841715596 | Faith Hope Love Homecare | Home Health | 604 S. Coit Street, Florence, SC 29501 | 2017-08-03 |
| 1083156350 | Karen Artis-bacote | Nurse Practitioner | 3835 Susan Dr, Florence, SC 29501 | 2016-11-17 |
| 1992251581 | Higher Ground Christian Counseling Service, LLC | Counselor | 1801 D West Evans Street, Florence, SC 29501 | 2016-09-01 |
| 1952752818 | Jack Carter Shackelford | Chiropractor | 311 West Palmetto Street, Florence, SC 29501 | 2016-06-22 |
| 1750743506 | Profection Therapy LLC | Clinic/Center | 315d North Beltline Dr., Florence, SC 29501 | 2016-03-22 |
| 1386002467 | Bergelt Optometric LLC | Optometrist | 2672 David Mcleod Blvd, Florence, SC 29501 | 2016-02-04 |
| 1437531993 | Sherika Tarshall Stuckey | Nurse Practitioner | 720 Coventry Lane, Apt C, Florence, SC 29501 | 2015-06-22 |
| 1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
| Find all providers in zip 29501 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346790144 | Southern Wellness Services, Inc. | Counselor | 2620 Hough Rd, Florence, AL 35630-1747 | 2016-10-05 |
| 1821544636 | Carla Mckenney | Counselor | 238 S Coit St, Florence, SC 29501-4422 | 2016-08-31 |
| 1255790556 | Stacy Freeman | Counselor | 4969 Highway 101 Unit 3, Florence, OR 97439-7803 | 2016-02-15 |
| 1982086617 | Senior Citizens Association In Florence County | Counselor | 600 Senior Way, Florence, SC 29505-6080 | 2015-06-18 |
| 1861883423 | Melissa Hardin | Counselor | 2809 W Mall Dr, Florence, AL 35630-1563 | 2015-02-17 |
| 1205266046 | Deborah Lynne Grigsby | Counselor | 1490 1st Street, Unit #1, Florence, OR 97439 | 2013-11-14 |
| 1184962029 | Virginia S. Singleton | Counselor | 1430 South Cashua Drive, Florence, SC 29501 | 2013-01-28 |
| 1043558091 | Richard Ray Mcbride | Counselor | 1430 S Cashua Dr, Florence, SC 29501-6323 | 2013-01-26 |
| 1639443344 | Tasha Lavon Hinson | Counselor | 604 Gregg Ave, Florence, SC 29501-4317 | 2012-02-27 |
| 1114233798 | Krista Leanne Jeffreys | Counselor | 215a Ana Dr, Florence, AL 35630-1749 | 2010-08-20 |
| Find all providers in FLORENCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.