DR. TIM FENNELL PHD NPI 1356618201

NPI Information

  • NPI: 1356618201
  • Provider Name: DR. TIM FENNELL, PHD
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 3990 CLAIRMONT RD
    CHAMBLEE, GA
    ZIP 30341
  • Phone: (407) 595-0146

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NPI Details

DR. Tim Fennell, PHD is a professional counselor in Chamblee, GA. DR. Tim Fennell, PHD NPI is 1356618201. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3990 CLAIRMONT RD
CHAMBLEE, GA
ZIP 30341-938
Phone: (407) 595-0146
Fax: (877) 260-8720

The enumeration date for this NPI number is 11/21/2011 and was last updated on 11/12/2019.

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
1101YP2500XCounselorProfessionalLPC009594GEORGIAYes

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: 11/21/2025

NPI Synchronization or Removal

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