Southern Psychiatric Practice | |
2424 India Hook Rd Ste 120 Rock Hill SC 29732-2784 | |
(803) 328-8255 | |
(803) 328-8265 |
Full Name | Southern Psychiatric Practice |
---|---|
Speciality | Clinic/Center |
Location | 2424 India Hook Rd, Rock Hill, South Carolina |
Authorized Official Name and Position | Tammy T Chen (OWNER) |
Authorized Official Contact | 8033288255 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Southern Psychiatric Practice 2424 India Hook Rd Ste 120 Rock Hill SC 29732-2784 Ph: (803) 328-8255 | Southern Psychiatric Practice 2424 India Hook Rd Ste 120 Rock Hill SC 29732-2784 Ph: (803) 328-8255 |
NPI Number | 1578807483 |
---|---|
Provider Enumeration Date | 11/15/2012 |
Last Update Date | 11/15/2012 |
Medicare PECOS PAC ID | 9739332503 |
---|---|
Medicare Enrollment ID | O20130102000342 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578807483 | NPI | - | NPPES |
313618 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Tammy Tim Yi Chen |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1013055706 PECOS PAC ID: 4880647668 Enrollment ID: I20091028000068 |
Epiphany Family Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 454 Anderson Rd S, Suite 162, Rock Hill, SC 29730 Phone: 704-236-4067 Fax: 803-324-0208 | |
Clear Vision Community Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1348 Ebenezer Rd, Suite 104, Rock Hill, SC 29732 Phone: 803-325-1915 Fax: 803-325-1927 | |
Elkins Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1477 Ebenezer Rd Ste A, Rock Hill, SC 29732 Phone: 803-235-0003 Fax: 803-887-4882 | |