PAULINE PATRICIA PENNANT (NPI# 1699065896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699065896 |
| Entity Type | Individual |
| Full Name | PAULINE PATRICIA PENNANT |
| Practice Address |
1205 Ethans Way Mcdonough GA 30252-1710 |
| Practice Telephone | 7708982434 |
| Practice Fax Number | 6788335973 |
| Mailing Telephone | 7708659153 |
| Mailing Fax Number | 6788335973 |
| Enumeration Date | 2011-04-09 |
| Last Update Date | 2011-04-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396071791 | Pauline Pennant | Registered Nurse | 209 Parker Ave, Maplewood, NJ 07040-1611 | 2009-10-20 |
| Street Address |
1205 ETHANS WAY |
| City | MCDONOUGH |
| State | GA |
| Zip Code | 30252-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114427 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 3479 Highway 81 East, Mcdonough, GA 30252 | 2020-11-03 |
| 1770143547 | Kevin Kirk Anderson | Physical Therapist | Dr. Kevin Anderson, 196 Lake Dow Rd, Mcdonough, GA 30252 | 2019-06-14 |
| 1912474537 | Atlanta Neuromonitoring, LLC | Psychiatry & Neurology | 922 Highway 81 East # 242, Mcdonough, GA 30252 | 2018-11-01 |
| 1194271320 | Christine Williams Breeden | Registered Nurse | 189 Irwin Drive, Mcdonough, GA 30252 | 2016-08-28 |
| 1518322395 | Jaquita Shorts | Counselor | 1705 Pennslyvania Ave, Mcdonough, GA 30252 | 2015-12-22 |
| 1356758973 | Keisha Candies | Counselor | 125 Zack Hinton Pkwy, Mcdonough, GA 30252 | 2014-07-15 |
| 1093145666 | Ceisha Shador Parks | Counselor | 6040 Winston Trace, Mcdonough, GA 30252 | 2013-11-19 |
| 1588939565 | Tasha E Jones | Counselor | 1509 Bent River Cir, Mcdonough, GA 30252 | 2012-03-09 |
| 1598049447 | Proactive Rehab, Inc | Physical Therapist | 50 Lawrenceville Street, Suite 100, Mcdonough, GA 30252 | 2011-10-10 |
| 1164706131 | Michelle Lee Cone | Pharmacist | 1210 Bent Creek Dr, Mcdonough, GA 30252 | 2011-10-07 |
| Find all providers in zip 30252 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205467206 | Robert L Johnson | Counselor | 403 Best Friends Turn Aly, Mcdonough, GA 30252-4844 | 2020-01-28 |
| 1982141156 | Shevlene Walker Burch | Counselor | 112 Windward Hls, Mcdonough, GA 30253-5991 | 2017-01-26 |
| 1659826378 | Franco Jordan | Counselor | 1473 Highway 20 W, Mcdonough, GA 30253-7306 | 2016-08-23 |
| 1568740603 | Namow Kcalba Featherstone | Counselor | 351 Interlake Pass, Mcdonough, GA 30252-8056 | 2011-07-22 |
| 1255620332 | Keisha T Tanner | Counselor | 338 Autumn Lake Dr, Mcdonough, GA 30253-6590 | 2011-03-29 |
| 1316176860 | Clyde William Sandford | Counselor | 1944 Brannan Rd, Mcdonough, GA 30253-4310 | 2009-07-06 |
| 1962520106 | Sharon Bryant Zellner | Counselor | 122 Chamlee Way, Mcdonough, GA 30252-6667 | 2007-03-26 |
| 1427669944 | Orett Thomas | Counselor | 207 Olde Town Way, Mcdonough, GA 30252-6887 | 2020-08-10 |
| 1245706985 | Victoria Miller | Counselor | 1705 Pennsylvania Ave, Mcdonough, GA 30253-9118 | 2018-10-20 |
| 1508332248 | Vmillerk Enterprises LLC | Counselor | 1705 Pennsylvania Ave, Mcdonough, GA 30253-9118 | 2018-10-20 |
| Find all providers in MCDONOUGH | ||||
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| 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.