NPIMap

Organization Active NPI

Teresa Redfearn LLC

Doing business as Child and Family Resource Center

  • Clinical Psychologist
  • Hartsville, SC
National Provider Identifier
1689038325
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4605 Issued in SC
Legal business name
TERESA REDFEARN LLC
Doing business as
Child and Family Resource Center
Practice address
122 E Home Ave
Hartsville, SC 29550-3712
Phone
(843) 917-0495
Fax
(864) 751-4179
NPI assigned
Apr 8, 2016
Last updated
Apr 24, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CHILD AND FAMILY RESOURCE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Teresa W Redfearn, LPES, NCSPNPI 1053674143
Title
Owner
Phone
(843) 917-0495

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU
Clinical Psychologist 103TC0700X 4605 SC Primary
Intellectual & Developmental Disabilities Psychologist 103TM1800X NU

Addresses

Primary practice location

122 E Home Ave
Hartsville, SC 29550-3712

Mailing address

PO Box 1257
Hartsville, SC 29551-1257
Phone (843) 917-0495

Other identifiers 1

IdentifierTypeStateIssuer
PG2894MedicaidSC

Other names 1

  • Child and Family Resource Center Doing business as

National Provider Directory

National Provider Directory
Part of
Teresa Redfearn LLC

Locations

718 S 4th St
Hartsville, SC 29550
Phone (843) 917-0495

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1689038325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1257",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295511257",
            "telephone_number": "843-917-0495",
            "fax_number": "864-751-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E HOME AVE",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295503712",
            "telephone_number": "843-917-0495",
            "fax_number": "864-751-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA REDFEARN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILD AND FAMILY RESOURCE CENTER",
        "enumeration_date": "2016-04-08",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "REDFEARN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-917-0495",
        "authorized_official_credential": "LPES, NCSP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "4605",
            "primary": true
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PG2894",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Child and Family Resource Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 24, 2025; 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.