Southern Psychiatric Practice

LBN: Southern Psychiatric Practice
Southern Psychiatric Practice is an health care organization with primary practice located at 2424 India Hook Rd Ste 120, Rock Hill SC 29732-2784. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Southern Psychiatric Practice can be contacted via phone (803) 328-8255, or through Chen, Tammy T via phone (803) 328-8255.

Contact Information

Primary practice address
2424 India Hook Rd Ste 120 Rock Hill SC 29732-2784
Phone: (803) 328-8255
Fax: (803) 328-8265
Website:
Map and Directions
Authorized official contact:
Name: Chen, Tammy T Doctor of Medicine (MD)
Phone: (803) 328-8255

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1578807483
LBN Legal business name Southern Psychiatric Practice
DBA Doing business as
Authorized official Chen, Tammy T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2012
Last updated Nov 15th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578807483 NPPES
South Carolina MEDICAID 313618

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