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PEE DEE MENTAL HEALTH CENTER
NPI 1174641666
Community/Behavioral Health in Lake City, SC

Active since March 26, 2007
675 N MATTHEWS RD, LAKE CITY, SC 29560(843) 394-7600 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pee Dee Mental Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEE DEE MENTAL HEALTH CENTER (NPI 1174641666) is a healthcare organization registered as a community/behavioral health in Lake City, South Carolina and active in the NPI registry since March 2007. The organization lists Cedric Jevon Evans, Human Services Specialist I, as its authorized official.

NPPES Registry Identity

NPI1174641666
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePEE DEE MENTAL HEALTH CENTER
Location Address675 N MATTHEWS RDLake City, SC 29560-7027
Mailing Address125 E Cheves StFlorence, SC 29506-2526 · (843) 317-4089 · Fax (843) 317-4096
Phone(843) 394-7600
Organization SubpartNo
Authorized OfficialCedric Jevon EvansHuman Services Specialist I · (843) 394-7600
Enumeration DateMarch 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1174641666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
675 N MATTHEWS RD, Lake City, SC 29560
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Other Identifiers 1

Medicaid376241SC

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. NORMAN G. CREIGHTON MS
Counselor (Mental Health)
675 N MATTHEWS RD
LAKE CITY, SC 29560
Florence County (843) 394-7600
PEE DEE MENTAL HEALTH
Clinic/Center (Mental Health (Including Community Mental Health Center))
675 N MATTHEWS RD
LAKE CITY, SC 29560
Florence County (843) 394-7600
MICHELLE MOSES
Counselor
675 N MATTHEWS RD
LAKE CITY, SC 29560
Florence County (843) 394-7419
VICKIE DENSIE REDDEN
Counselor (Mental Health)
675 N MATTHEWS RD
LAKE CITY, SC 29560
Florence County (843) 661-4879
MRS. CLARA GLASSCHO RN,C
Registered Nurse (Psychiatric/Mental Health)
675 N MATTHEWS RD
LAKE CITY, SC 29560
Florence County (843) 394-7600
T'AUNA HUDSON
Counselor (Mental Health)
675 N MATTHEWS RD
LAKE CITY, SC 29560
Florence County (843) 394-7600
JOANN BOARDS
Counselor
675 N MATTHEWS RD
LAKE CITY, SC 29560
Florence County (843) 394-7419
LATORIA BLAKE
Counselor (Mental Health)
675 N MATTHEWS RD
LAKE CITY, SC 29560
Florence County (843) 394-7600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pee Dee Mental Health Center's NPI number?

The NPI number for Pee Dee Mental Health Center is 1174641666. It was assigned to this organization in the NPPES registry on March 26, 2007.

Where is Pee Dee Mental Health Center located?

Pee Dee Mental Health Center is located at 675 N Matthews Rd, Lake City, SC 29560. The listed phone number is (843) 394-7600.

What is Pee Dee Mental Health Center's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Pee Dee Mental Health Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.