PALMETTO PEE DEE BEHAVIORAL HEALTH INC (NPI# 1427447978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427447978 |
| Entity Type | Organization |
| Organization Name | PALMETTO PEE DEE BEHAVIORAL HEALTH INC |
| Practice Address |
601 Gregg Ave Florence SC 29501-4316 |
| Mailing Address |
2777 Speissegger Dr Charleston SC 29405-8229 |
| Practice Telephone | 8436670644 |
| Mailing Telephone | 8436670644 |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-01-21 |
| Authorized Official Name | STEVE FILTON (SR VP CFO) |
| Authorized Official Telephone | 6107683300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
RTF0014 | SC | Ambulatory Health Care Facilities |
| Street Address |
601 GREGG AVE |
| City | FLORENCE |
| State | SC |
| Zip Code | 29501-4316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922154392 | James Mark Gibbs | Counselor | 601 Gregg Ave, Florence, SC 29501 | 2007-01-26 |
| 1467897694 | Lisa F Burkett | Counselor | 601 Gregg Ave, Florence, SC 29501-4316 | 2013-05-01 |
| 1508105594 | Rachael Marchette | Counselor | 601 Gregg Ave, Florence, SC 29501-4316 | 2013-02-11 |
| 1780970624 | Holly S Morrison | Counselor | 601 Gregg Ave, Florence, SC 29501-4316 | 2011-06-20 |
| 1821113622 | Ricky Ray Martin | Counselor | 601 Gregg Ave, Florence, SC 29502 | 2007-03-20 |
| 1851423222 | Johnny R Willis | Counselor | 601 Gregg Ave, Florence, SC 29501 | 2007-03-12 |
| 1598895971 | Pamela Amerson Williams | Counselor | 601 Gregg Ave, Florence, SC 29501 | 2007-03-06 |
| 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 | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1003974627 | Arizona's Children Association | Clinic/Center | 225 S Orlando St., Florence, AZ 85132 | 2006-12-05 |
| 1780197970 | G-team, P.C. | Clinic/Center | 218 W Alabama St, Florence, AL 35630-5516 | 2017-11-09 |
| 1053692012 | Awareness and Discovery Group LLC | Clinic/Center | 2 Dortha Ave, Florence, KY 41042-2014 | 2011-09-06 |
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|---|---|---|---|---|
| 1548874621 | Safe Harbour Counseling Services | Clinic/Center | 23 Little Creek Rd, Beaufort, SC 29907-1634 | 2020-09-04 |
| 1043821911 | Be Still and Heal, LLC | Clinic/Center | 221 Hillsborough Rd, Columbia, SC 29212-3639 | 2020-08-13 |
| 1932724028 | Balancing Eden Counseling LLC | Clinic/Center | 2607 Woodruff Rd Ste E-1069, Simpsonville, SC 29681-4803 | 2020-06-15 |
| 1720602758 | End-list Possibilities, LLC | Clinic/Center | 2375 E Main St Ste A105, Spartanburg, SC 29307-1400 | 2020-06-05 |
| 1356997746 | Palmetto Therapist LLC | Clinic/Center | 2437c Mineral Springs Rd, Lexington, SC 29072-9145 | 2019-08-13 |
| 1720551070 | Inspirational Hope, LLC | Clinic/Center | 232 15-401 E Bypass, Bennettsville, SC 29512-4440 | 2019-01-09 |
| 1265915649 | Elite Care Family Services | Clinic/Center | 716 Paces Run Ct, Columbia, SC 29223-7949 | 2018-09-11 |
| 1821337098 | Behavioral Health Services LLC | Clinic/Center | 7320 College St, Suite 102, Irmo, SC 29063-2944 | 2013-02-07 |
| 1447512892 | Carolina Child Psychiatry, Pa | Clinic/Center | 1911 Barnwell St Ste A, Columbia, SC 29201-2605 | 2012-06-12 |
| 1184984742 | Autism Academy of South Carolina | Clinic/Center | 2243 Percival Rd, Columbia, SC 29223-4021 | 2012-05-16 |
| Find all providers with the same taxonomy | ||||
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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.