| 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 |
Good Success Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 454 S Anderson Rd Ste 2, Btc 598, Rock Hill, SC 29730 Phone: 803-242-0778 Fax: 877-752-1347 | |
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 | |
York Couty Djj Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1070 Heckle Blvd, Rock Hill, SC 29732 Phone: 803-909-7500 | |
Sprout Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 E Main St Ste 200, Rock Hill, SC 29730 Phone: 833-991-2368 Fax: 929-384-7193 | |
Christina Zimmerman, Lmft, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1721 Ebenezer Rd, Suite 215, Rock Hill, SC 29732 Phone: 803-366-7404 | |
Compleat Rehab & Sports Therapy Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 197 Piedmont Blvd Ste 205, Rock Hill, SC 29732 Phone: 704-747-2409 |