DR GERALD W PENNIE NPI 1235667601

NPI Information

  • NPI: 1235667601
  • Provider Name: DR GERALD W PENNIE
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Doing Business As: GERALD PENNIE
  • Address: 3805 22ND ST STE 1C
    LUBBOCK, TX
    ZIP 79410
  • Phone: (713) 417-6057

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NPI Details

DR GERALD W PENNIE is a mental health (including community mental health center) clinic center in Lubbock, TX. DR GERALD W PENNIE NPI is 1235667601. The provider is registered as an organization entity type.
The provider Is Doing Business As Gerald Pennie.

The provider's business location address is:

3805 22ND ST STE 1C
LUBBOCK, TX
ZIP 79410-142
Phone: (713) 417-6057
Fax: (713) 417-6057

The provider's authorized official is Gerald Wayne Pennie .
The authorized official title is Lead Counselor and has the following contact phone number (713) 417-6057.

The enumeration date for this NPI number is 5/31/2017 and was last updated on 8/7/2017.

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
1261QM0850XClinic/CenterAdult Mental Health72286TEXASNo
2261QM0855XClinic/CenterAdolescent and Children Mental Health72286TEXASNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)72286TEXASYes

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: 3/30/2025

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