Organization Active NPI

Pee Dee Mental Health

  • Community/Behavioral Health Agency
  • Hartsville, SC
National Provider Identifier
1043654965
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
85061 Issued in SC
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

Updated by the provider on Apr 22, 2013

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.