Provider Demographics
NPI:1861763534
Name:POSITIVE PERCEPTIONS, PLLC
Entity type:Organization
Organization Name:POSITIVE PERCEPTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP/CEO
Authorized Official - Prefix:
Authorized Official - First Name:LATASHA
Authorized Official - Middle Name:REGENIA
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:704-966-7710
Mailing Address - Street 1:19701 BETHEL CHURCH RD STE 103-233
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-4072
Mailing Address - Country:US
Mailing Address - Phone:704-966-7710
Mailing Address - Fax:704-496-2203
Practice Address - Street 1:10150 MALLARD CREEK RD STE 104
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-4567
Practice Address - Country:US
Practice Address - Phone:704-966-7710
Practice Address - Fax:704-496-2203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-26
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5003950363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty