Active NPI
Pee Dee Mental Health
- Community/Behavioral Health Agency
- Hartsville, SC
National Provider Identifier
1043654965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 85061
- Legal business name
- PEE DEE MENTAL HEALTH
- Practice address
- 900 S 4TH St
Hartsville, SC 29550-5787 - Phone
- (843) 332-4141
- Fax
- (843) 383-4625
- NPI assigned
- Apr 22, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Fanika Rachelle George-Steele, RN, BSN
- Title
- Registered Nurse
- Phone
- (843) 332-4141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 85061 | SC | Primary |
Addresses
Primary practice location
900 S 4TH St
Hartsville, SC 29550-5787
Mailing address
900 S 4TH St
Hartsville, SC 29550-5787
Phone (843) 332-4141
National Provider Directory
National Provider DirectoryLocations
900 S 4th St
Hartsville, SC 29550
Phone (843) 332-4141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366588800000",
"number": "1043654965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 S 4TH ST",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295505787",
"telephone_number": "843-332-4141",
"fax_number": "843-383-4625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S 4TH ST",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295505787",
"telephone_number": "843-332-4141",
"fax_number": "843-383-4625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEE DEE MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-22",
"last_updated": "2013-04-22",
"status": "A",
"authorized_official_last_name": "GEORGE-STEELE",
"authorized_official_first_name": "FANIKA",
"authorized_official_middle_name": "RACHELLE",
"authorized_official_title_or_position": "REGISTERED NURSE",
"authorized_official_telephone_number": "843-332-4141",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN, BSN"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "SC",
"license": "85061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.