PENTA C. ENTERPRICES INC. NPI 1821296567

NPI Information

NPI: 1821296567
Provider Name: PENTA C. ENTERPRICES, INC.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
3009 RAINBOW DR
142
DECATUR, GA
ZIP 30034
Phone: (404) 243-1992
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PENTA C. ENTERPRICES, INC. is a mental health counselor in Decatur, GA. PENTA C. ENTERPRICES, INC. NPI is 1821296567. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3009 RAINBOW DR
142
DECATUR, GA
ZIP 30034-680
Phone: (404) 243-1992
Fax: (404) 243-4903

The provider's authorized official is Alice Cannon .
The authorized official title is Director and has the following contact phone number (404) 243-1992.

The enumeration date for this NPI number is 7/3/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	101YM0800X	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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