Pee Dee Mental Health Center

LBN: Pee Dee Mental Health Center
Pee Dee Mental Health Center is an health care organization with primary practice located at 125 E Cheves St , Florence SC 29506-2526. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Pee Dee Mental Health Center can be contacted via phone (843) 317-4073, or through Hickson, Doretha via phone (843) 317-4073.

Contact Information

Primary practice address
125 E Cheves St Florence SC 29506-2526
Phone: (843) 317-4073
Fax: (843) 317-4080
Website:
Map and Directions
Authorized official contact:
Name: Hickson, Doretha
Phone: (843) 317-4073

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X South Carolina

Profile Details

NPI number 1114279403
LBN Legal business name Pee Dee Mental Health Center
DBA Doing business as
Authorized official Hickson, Doretha
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2012
Last updated Oct 10th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114279403 NPPES
South Carolina MEDICAID 376421

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