NPIMap

Organization Active NPI

Pee Dee Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Florence, SC
National Provider Identifier
1114279403
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PEE DEE MENTAL HEALTH CENTER
Practice address
125 E Cheves St
Florence, SC 29506-2526
Phone
(843) 317-4073
Fax
(843) 317-4080
NPI assigned
Oct 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Doretha Hickson
Title
Human Services Specialist 1
Phone
(843) 317-4073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X SC Primary

Addresses

Primary practice location

125 E Cheves St
Florence, SC 29506-2526

Mailing address

1756 N Springdale PL
Florence, SC 29506-6912
Phone (843) 317-4073

Other identifiers 1

IdentifierTypeStateIssuer
376421MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Lexington Co Comm Men H61 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1114279403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1756 N SPRINGDALE PL",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295066912",
            "telephone_number": "843-317-4073",
            "fax_number": "843-317-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E CHEVES ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062526",
            "telephone_number": "843-317-4073",
            "fax_number": "843-317-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEE DEE MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "HICKSON",
        "authorized_official_first_name": "DORETHA",
        "authorized_official_title_or_position": "HUMAN SERVICES SPECIALIST 1",
        "authorized_official_telephone_number": "843-317-4073",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376421",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.