| Family Matters Of The Pee Dee | |
|
273 Hattie Ln Latta SC 29565-4160 | |
| (843) 616-0296 | |
| (843) 536-1232 |
| Full Name | Family Matters Of The Pee Dee |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 273 Hattie Ln, Latta, South Carolina |
| Authorized Official Name and Position | Lisa Marie Hyatt (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8436160296 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Matters Of The Pee Dee Po Box 447 Latta SC 29565-0447 Ph: (843) 616-0296 | Family Matters Of The Pee Dee 273 Hattie Ln Latta SC 29565-4160 Ph: (843) 616-0296 |
| NPI Number | 1033406665 |
|---|---|
| Provider Enumeration Date | 07/04/2011 |
| Last Update Date | 12/16/2015 |
| Medicare PECOS PAC ID | 6709292162 |
|---|---|
| Medicare Enrollment ID | O20210309002552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033406665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 9799 (South Carolina) | Primary |
| 251V00000X | Voluntary Or Charitable | (* (Not Available)) | Secondary |
| Provider Name | Lisa Marie Hyatt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932496569 PECOS PAC ID: 7416363874 Enrollment ID: I20210309002714 |
Save Our Youth Movement Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3752 Highway 34 W, Latta, SC 29565 Phone: 843-632-1503 |