PEE DEE MENTAL HEALTH (NPI# 1689018400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689018400 |
Entity Type | Organization |
Organization Name | PEE DEE MENTAL HEALTH |
Practice Address |
900 S 4th St Hartsville SC 29550-5787 |
Practice Telephone | 8436398045 |
Mailing Telephone | 8436398042 |
Enumeration Date | 2013-04-23 |
Last Update Date | 2013-04-23 |
Authorized Official Name | MS. SANDRA D GAMBLE (HUMAN SERVICES COORDINATOR I) |
Authorized Official Telephone | 8436398042 |
Authorized Official Credential | MHP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043636046 | Pee Dee Mental Health | Clinic/Center | 675 N Matthews Rd, Lake City, SC 29560-7027 | 2014-03-14 |
1043654965 | Pee Dee Mental Health | Community/Behavioral Health | 900 S 4th St, Hartsville, SC 29550-5787 | 2013-04-22 |
1023335783 | Pee Dee Mental Health | Community/Behavioral Health | 125 E Cheves St, Florence, SC 29506-2526 | 2010-04-21 |
1245454339 | Pee Dee Mental Health | Counselor | 125 E Cheves St, Florence, SC 29506-2526 | 2007-04-12 |
1508983008 | Pee Dee Mental Health | Counselor | 125 E Cheves St, Florence, SC 29506-2526 | 2007-03-22 |
1679604888 | Pee Dee Mental Health | Counselor | 125 E Cheves St, Florence, SC 29506-2526 | 2007-03-08 |
1720118789 | Pee Dee Mental Health | Counselor | 125 E Cheves St, Florence, SC 29506-2526 | 2007-03-07 |
1073643896 | Pee Dee Mental Health | Counselor | 125 E Cheves St, Florence, SC 29506-2526 | 2007-03-07 |
1063542579 | Pee Dee Mental Health | Counselor | 125 E Cheves St, Florence, SC 29506-2526 | 2007-03-06 |
1881724391 | Pee Dee Mental Health | Counselor | 125 E Cheves St, Florence, SC 29506-2526 | 2007-03-06 |
Street Address |
900 S 4TH ST |
City | HARTSVILLE |
State | SC |
Zip Code | 29550-5787 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447725684 | Synethia Mcrae | Counselor | 900 S 4th St, Hartsville, SC 29550-5787 | 2018-10-03 |
1992234413 | Lakenya Cassidy | Counselor | 900 S 4th St, Hartsville, SC 29550-5787 | 2017-06-08 |
1659805208 | Fanika George-steele | Registered Nurse | 900 S 4th St, Hartsville, SC 29550-5787 | 2017-04-19 |
1609251446 | Victoria Hooks | Counselor | 900 S 4th St, Hartsville, SC 29550-5787 | 2015-07-22 |
1821415217 | Sandra Gamble | Counselor | 900 S 4th St, Hartsville, SC 29550-5787 | 2014-03-24 |
1417372053 | Shareese Brady | Case Manager/Care Coordinator | 900 S 4th St, Hartsville, SC 29550-5787 | 2014-02-19 |
1750725263 | Caroline M Mcdaniel | Counselor | 900 S 4th St, Hartsville, SC 29550-5787 | 2013-04-26 |
1043654965 | Pee Dee Mental Health | Community/Behavioral Health | 900 S 4th St, Hartsville, SC 29550-5787 | 2013-04-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790391456 | Empire Audiology, LLC | Audiologist | 3536 W Bobo Newsom Hwy, Hartsville, SC 29550 | 2020-09-18 |
1386125797 | Caresouth Hha Holdings of Washington, LLC | Hospice Care, Community Based | 696 Medical Park Dr Ste 2, Hartsville, SC 29550 | 2018-08-23 |
1740760735 | Danna Dubose Coe | Home Health | 1575 Winding Ridge Drive, Hartsville, SC 29550 | 2018-08-18 |
1548748452 | Samantha Elizabeth Kieffer | Counselor | 510 Carolina Ave, Hartsville, SC 29550 | 2018-08-02 |
1790277879 | Katarina K Epps | Counselor | 628 E Carolina Ave, Hartsville, SC 29550 | 2018-06-04 |
1497245328 | Mary Alice King | Counselor | 513 Woodland Drive, Hartsville, SC 29550 | 2018-05-16 |
1003321167 | Mcleod Physician Associates II | Internal Medicine | 1319 South 4th Street, Hartsville, SC 29550 | 2017-12-11 |
1902347677 | William H Long LLC | Family Medicine | 420a W Carolina Ave, Hartsville, SC 29550 | 2017-03-15 |
1821459470 | April S Crawley | Nurse Practitioner | 1 N 2nd St # C05, Hartsville, SC 29550 | 2016-03-10 |
1548635873 | Melissa Davis Ellington | Registered Nurse | 900 South 4th Street, Hartsville, SC 29550 | 2015-12-11 |
Find all providers in zip 29550 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457837973 | Future Paralegals of America | Community/Behavioral Health | 1624 S 5th St, Hartsville, SC 29550-5755 | 2018-07-18 |
1679094320 | Quality Rehabilitation Services LLC | Community/Behavioral Health | 1900 Blanding Dr, Hartsville, SC 29550-5931 | 2017-07-03 |
1407385420 | Starting Point of Darlington, LLC | Community/Behavioral Health | 1451 Retail Row, Hartsville, SC 29550-4258 | 2017-06-05 |
1477617876 | Rubicon, Inc. | Community/Behavioral Health | 510 E Carolina Ave, Hartsville, SC 29550-4312 | 2006-12-20 |
1043654965 | Pee Dee Mental Health | Community/Behavioral Health | 900 S 4th St, Hartsville, SC 29550-5787 | 2013-04-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902403116 | Pieces 2 Peace Wellness Center, LLC | Community/Behavioral Health | 1105 Belleview St Ste 103, Columbia, SC 29201-1839 | 2020-10-01 |
1215541669 | Myndspace Mental Health Education & Consulting, LLC | Community/Behavioral Health | 111 Bantry Cir, Charleston, SC 29414-8089 | 2020-09-03 |
1861005431 | Legacy Counseling and Consulting of South Carolina | Community/Behavioral Health | 62 Bridgeway Dr, Laurens, SC 29360-7452 | 2020-08-24 |
1093325953 | B & H Consultants LLC | Community/Behavioral Health | 1965 Baggette Rd, Manning, SC 29102-7643 | 2020-08-05 |
1649896770 | New Wave Counseling Services, LLC | Community/Behavioral Health | 175 Guiomar Rd, Cordova, SC 29039-9344 | 2020-06-24 |
1871116517 | Transcendence Treatment Center, LLC | Community/Behavioral Health | 3900 Leeds Ave Ste 101, North Charleston, SC 29405-7461 | 2020-05-28 |
1710507090 | Adahsa Counseling LLC | Community/Behavioral Health | 200 Eascott Pl, Columbia, SC 29229-5502 | 2020-04-16 |
1740809862 | Brsi Lp | Community/Behavioral Health | 8901 Farrow Rd, Columbia, SC 29203-8930 | 2020-04-09 |
1881224954 | Kimberly Lynette Merritts | Community/Behavioral Health | 1550 N Williston Rd, Florence, SC 29506-8744 | 2020-01-17 |
1790324986 | Bransand | Community/Behavioral Health | 402 Nautique Cir, Columbia, SC 29229-7334 | 2020-01-05 |
Find all providers with the same taxonomy |
City | HARTSVILLE |
Zip Code | 29550 |
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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.