Active NPI
Pee Dee Mental Health
- Mental Health Counselor
- Florence, SC
National Provider Identifier
1508983008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PEE DEE MENTAL HEALTH
- Practice address
- 125 E Cheves St
Florence, SC 29506-2526 - Phone
- (843) 317-4089
- Fax
- (843) 317-4096
- NPI assigned
- Mar 22, 2007
- Last updated
- Aug 22, 2020
- 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
- Robin Windham
- Title
- Behabioral Health
- Phone
- (843) 317-4089
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
125 E Cheves St
Florence, SC 29506-2526
Mailing address
125 E Cheves St
Florence, SC 29506-2526
Phone (843) 317-4089
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376241 | Medicaid | SC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1508983008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 E CHEVES ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295062526",
"telephone_number": "843-317-4089",
"fax_number": "843-317-4096"
},
{
"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": "843-317-4089",
"fax_number": "843-317-4096"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEE DEE MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WINDHAM",
"authorized_official_first_name": "ROBIN",
"authorized_official_title_or_position": "BEHABIORAL HEALTH",
"authorized_official_telephone_number": "843-317-4089"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "376241",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.