PEE DEE MENTAL HEALTH NPI 1801926498

NPI Information

NPI: 1801926498
Provider Name: PEE DEE MENTAL HEALTH
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
125 E CHEVES ST
FLORENCE, SC
ZIP 29506
Phone: (843) 317-4089
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PEE DEE MENTAL HEALTH is a mental health counselor in Florence, SC. PEE DEE MENTAL HEALTH NPI is 1801926498. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

125 E CHEVES ST
FLORENCE, SC
ZIP 29506-526
Phone: (843) 317-4089

The provider's authorized official is Marshall Pernell Ivey .
The authorized official title is Human Service Speciallist Ii and has the following contact phone number (843) 317-4089.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	376241	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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