PALMETTO PEE DEE BEHAVIORAL HEALTH, LLC (NPI# 1669902979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669902979 |
| Entity Type | Organization |
| Organization Name | PALMETTO PEE DEE BEHAVIORAL HEALTH, LLC |
| Practice Address |
601 Gregg Ave Ste B Florence SC 29501-4316 |
| Practice Telephone | 8436670644 |
| Mailing Telephone | 8436670644 |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2017-06-19 |
| 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 | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| STATE LICENSE | RTF0014 | 01 | |
| SC | RTF0024 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508979956 | Palmetto Pee Dee Behavioral Health, LLC | Psychiatric Residential Treatment Facility | 601 Gregg Ave., Florence, SC 29501-4316 | 2006-08-17 |
| Street Address |
601 GREGG AVE STE B |
| City | FLORENCE |
| State | SC |
| Zip Code | 29501-4316 |
| 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 | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447507165 | Tate Counseling Services | Psychiatric Residential Treatment Facility | 1006 Mars Hill Rd, Florence, AL 35630-1048 | 2012-08-13 |
| 1508979956 | Palmetto Pee Dee Behavioral Health, LLC | Psychiatric Residential Treatment Facility | 601 Gregg Ave., Florence, SC 29501-4316 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275821712 | Generations Residential Programs, Inc. | Psychiatric Residential Treatment Facility | 841 Dunklin Bridge Road, Fountain Inn, SC 29644-9725 | 2011-07-19 |
| 1083852511 | Excalibur Youth Services, LLC. | Psychiatric Residential Treatment Facility | 3683 S. Industrial Dr., Simpsonville, SC 29681 | 2009-01-21 |
| 1508017476 | Avalonia Group Homes, Inc. | Psychiatric Residential Treatment Facility | 404 Hampton Ave, Pickens, SC 29671-2608 | 2008-10-09 |
| 1467485144 | Abs Lincs Sc Inc | Psychiatric Residential Treatment Facility | 225 Midland Parkway, Summerville, SC 29485 | 2006-07-08 |
| 1114984812 | Thompson Child & Family Focus | Psychiatric Residential Treatment Facility | 234 Kings Mountain St, York, SC 29745-1131 | 2006-04-27 |
| 1770093684 | Social Remedies Inc | Psychiatric Residential Treatment Facility | 920 Berry St, Manning, SC 29102-2002 | 2017-10-05 |
| 1558891861 | Three Rivers Residential Treatment Midlands Campus | Psychiatric Residential Treatment Facility | 200 Ermine Rd, West Columbia, SC 29170 | 2017-06-19 |
| 1407386923 | Abs Lincs Sc, Inc. | Psychiatric Residential Treatment Facility | 225 Midland Pkwy, Summerville, SC 29485-8104 | 2017-06-18 |
| 1821524067 | Three Rivers Midlands | Psychiatric Residential Treatment Facility | 200 Ermine Rd, West Columbia, SC 29170-2024 | 2017-05-09 |
| 1235401340 | Mari Asper Md, LLC | Psychiatric Residential Treatment Facility | 9263 Medical Plaza Dr, Suite A, North Charleston, SC 29406-7109 | 2012-02-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PALMETTO PEE DEE BEHAVIORAL HEALTH, LLC.
| 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.