MISS KENIQUE D PENN (NPI# 1679649206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679649206 |
| Entity Type | Individual |
| Full Name | MISS KENIQUE D PENN |
| Credential | LPC |
| Practice Address |
5755 N Point Pkwy Suite 256 Alpharetta GA 30022-1142 |
| Mailing Address |
Po Box 250 Alpharetta GA 30009-0250 |
| Practice Telephone | 7706673877 |
| Practice Fax Number | 7706673879 |
| Mailing Telephone | 7703165435 |
| Mailing Fax Number | 7706673879 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2008-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
004674 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 673603439A | 05 |
| Street Address |
5755 N POINT PKWY SUITE 256 |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30022-1142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033179734 | Jennifer A. Alonso | Chiropractor | 5755 N Point Pkwy, Suite 48, Alpharetta, GA 30022-1142 | 2006-03-25 |
| 1134758626 | Claudia Patricia Morales | Counselor | 5755 N Point Pkwy, Alpharetta, GA 30022-1142 | 2020-04-06 |
| 1700353471 | Charity Hope Hochberg | Social Worker | 5755 N Point Pkwy, Alpharetta, GA 30022-1142 | 2018-10-31 |
| 1013402247 | Shannon Burge Wallon | Counselor | 5755 N Point Pkwy, Alpharetta, GA 30022-1142 | 2018-06-29 |
| 1992241947 | Stephen Nelson | Social Worker | 5755 N Point Pkwy, Suite 51, Alpharetta, GA 30022-1142 | 2017-01-15 |
| 1154870319 | Dr. Thuy Le North Point Eye Care, Inc. | Optometrist | 5755 N Point Pkwy, Suite 222, Alpharetta, GA 30022-1142 | 2016-09-29 |
| 1619321874 | Alice Carpenter Bentley | Counselor | 5755 N Point Pkwy, Suite 67, Alpharetta, GA 30022-1142 | 2016-04-14 |
| 1386005197 | Eye Associates of North Atlanta LLC | Ophthalmology | 5755 N Point Pkwy, Ste 94, Alpharetta, GA 30022-1150 | 2016-03-08 |
| 1568829976 | Alexandro Jerry Paulk | Chiropractor | 5755 N Point Pkwy, Suite 4, Alpharetta, GA 30022-1142 | 2016-01-15 |
| 1124491204 | Andrea Gwyn | Counselor | 5755 N Point Pkwy, Ste 256, Alpharetta, GA 30022-1142 | 2015-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244463 | Youthful Md LLC | Family Medicine | 10595 Old Alabama Rd Con, # 9a, Alpharetta, GA 30022 | 2020-01-13 |
| 1194367185 | Maureen Onyewuenyi | Counselor | 1030 Jones Bridge Road, Suite 301, Johns Creek, GA 30022 | 2019-10-11 |
| 1427543032 | Neal Baker | Counselor | 5755 N Point Pkwy Ste 90, Alpharetta, GA 30022 | 2018-06-26 |
| 1215428685 | Advanced Cosmetic and Family Dentistry, PC | Durable Medical Equipment & Medical Supplies | 4205 North Point Parkway Bldg D, Alpharetta, GA 30022 | 2018-05-22 |
| 1114431541 | Grace Yang | Speech-Language Pathologist | 3207 Beaver Creek Road, Alpharetta, GA 30022 | 2017-11-21 |
| 1881112217 | Brittany Ketchup Hall | Counselor | 2750 Old Alabama Rd Unit 200, Alpharetta, GA 30022 | 2017-09-06 |
| 1154849867 | Fatima Wasim | Psychologist | 5755 N Point Pkwy Ste 79, Alpharetta, GA 30022 | 2017-09-01 |
| 1730602418 | Brian Keith Soles | Pharmacist | 4305 Old Milton Parkway, Alpharetta, GA 30022 | 2017-07-25 |
| 1548718976 | Serenity Life Counseling Center LLC | Community/Behavioral Health | 10068 Parc Sky Cir, Alpharetta, GA 30022 | 2016-09-14 |
| 1487016317 | National Vision, Inc. | Technician/Technologist | 7661 N Point Pwky, Ste 600, Alpharetta, GA 30022 | 2016-03-21 |
| Find all providers in zip 30022 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061331 | Justin White | Counselor | 1025 Powers Pl, Alpharetta, GA 30009-8356 | 2020-10-22 |
| 1164029559 | Bridget Anne Spicer | Counselor | 8945 Powderdam Dr, Alpharetta, GA 30022-5453 | 2020-10-08 |
| 1700498979 | Outpatient Behavioral Health, LLC | Counselor | 5755 N Point Pkwy Ste 256, Alpharetta, GA 30022-1174 | 2020-08-19 |
| 1760007728 | Jessalyn Palmer | Counselor | 1010 Bay Pointe Xing, Alpharetta, GA 30005-6955 | 2020-06-15 |
| 1174168488 | Julie Conrad | Counselor | 12705 Century Dr Unit D, Alpharetta, GA 30009-8378 | 2019-11-11 |
| 1720634603 | Angela U. Seymour, LLC | Counselor | 11080 Old Roswell Rd Ste 203, Alpharetta, GA 30009-4759 | 2019-08-15 |
| 1528620051 | Bright Path Therapy and Wellness Center | Counselor | 1071 Cambridge Sq Ste A, Alpharetta, GA 30009-1843 | 2019-07-04 |
| 1124590112 | Natasha Dedijer-turner | Counselor | 3740 Oakland Chase, Alpharetta, GA 30004-5918 | 2019-01-02 |
| 1497230999 | Mark Jason Sherling | Counselor | 201 Vaughn Dr, Alpharetta, GA 30009-2333 | 2018-10-01 |
| 1023507126 | Rabia Osman Khan | Counselor | 1065 Winthrope Park Dr, Alpharetta, GA 30009-2385 | 2018-05-03 |
| Find all providers in ALPHARETTA | ||||
| City | ALPHARETTA |
| Zip Code | 30022 |
Please comment or provide details below to improve the information on MISS KENIQUE D PENN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.