| Taylor Pederson, | |
|
900 S 4th St, Hartsville, SC 29550-5787 | |
| (843) 332-4141 | |
| Not Available |
| Full Name | Taylor Pederson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 900 S 4th St, Hartsville, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033700430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | South Carolina Dept of Mental Health Accounting Office |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295332690 PECOS PAC ID: 9032021175 Enrollment ID: O20031107000041 |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Pederson, 125 E Cheves St, Florence, SC 29506-2526 Ph: (843) 317-4073 | Taylor Pederson, 900 S 4th St, Hartsville, SC 29550-5787 Ph: (843) 332-4141 |
Emily Hudson Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 510 E Carolina Ave, Hartsville, SC 29550 Phone: 843-332-4156 |
Eric Radcliff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 E. Carolina Ave., Hartsville, SC 29550 Phone: 843-332-4156 |
Audrey Pinckney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1451 Retail Row, Hartsville, SC 29550 Phone: 877-848-9810 |
Mr. Thomas Blackmon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 E Carolina Ave, Hartsville, SC 29550 Phone: 843-332-4141 |
Mr. Lentheus Mcalister, Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 E Carolina Ave, Hartsville, SC 29550 Phone: 843-332-4141 |
Angela Wellman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 149 E Carolina Ave, Hartsville, SC 29550 Phone: 843-857-0074 Fax: 843-857-0081 |
Brittany Cranford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1451 Retail Row, Hartsville, SC 29550 Phone: 843-383-4848 Fax: 843-383-4828 |