Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
PEE DEE MENTAL HEALTH CENTER
Active
Organization
PEE DEE MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DORETHA HICKSON (HUMAN SERVICES SPECIALIST 1)
(843) 317-4073
Entity
Organization
Contact information
Practice address
125 E CHEVES ST, FLORENCE, SC 29506-2526
(843) 317-4073
(843) 317-4080
Mailing address
1756 N SPRINGDALE PL, FLORENCE, SC 29506-6912
(843) 317-4073
(843) 317-4080
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376421
—
SC
Enumeration date
10/10/2012
Last updated
10/10/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up