Pee Dee Mental Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PEE DEE MENTAL HEALTH

Practice address

900 S 4TH St
Hartsville, SC 29550-5787

Phone

(843) 639-8045

NPI assigned

Apr 23, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Sandra D Gamble, MHP

Title

Human Services Coordinator I

Phone

(843) 639-8042

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1689018400",
    "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": "843-639-8042"
        },
        {
            "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": "843-639-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEE DEE MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "HUMAN SERVICES COORDINATOR I",
        "authorized_official_telephone_number": "843-639-8042",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Pederson
• Pee Dee Emergency Physicians
• Pee Dee Eye Associates PA
• Pee Dee Healthcare PA
• Pee Dee Mental Health
• Pee Dee Pain Care, LLC
• Leslie J Pell, PHARMD
• Joni Cranford Pendergrass
• Katherine Hines Pennington, MSP, CCC-SLP
• Perfect Works Medical Solutions, LLC

• Community/Behavioral Health Agency in Hartsville, SC
• Providers in Hartsville, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.