Child And Family Resource Center

LBN: Tracy Redfearn Inc.
Child And Family Resource Center is an health care organization with primary practice located at 702B W Carolina Ave , Hartsville SC 29550-4412. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Social Worker, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Tracy Redfearn Inc. can be contacted via phone (843) 917-0495, or through Redfearn, Teresa via phone (843) 917-0495.

Contact Information

Primary practice address
702B W Carolina Ave Hartsville SC 29550-4412
Phone: (843) 917-0495
Fax: (843) 917-0495
Website:
Map and Directions
Authorized official contact:
Name: Redfearn, Teresa MS, LPES
Phone: (843) 917-0495

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4605 South Carolina
Behavioral Health & Social Service Providers / School 101YS0200X 4605 South Carolina
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 4605 South Carolina
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 4605 South Carolina
Behavioral Health & Social Service Providers / School 103TS0200X 4605 South Carolina
Behavioral Health & Social Service Providers / Social Worker 104100000X 4605 South Carolina
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 4605 South Carolina

Profile Details

NPI number 1265847255
LBN Legal business name Tracy Redfearn Inc.
DBA Doing business as Child And Family Resource Center
Authorized official Redfearn, Teresa MS, LPES
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2014
Last updated Jun 27th, 2014 - about 11 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 1265847255 NPPES
South Carolina Other 4605 STATE LPES LICENSE NUMBER
South Carolina MEDICAID LP1000 STATE LPES LICENSE NUMBER

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