SIR ALLEN PEGUES NPI 1447778410

NPI Information

NPI: 1447778410
Provider Name: SIR ALLEN PEGUES
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1333 MOUNT ZION RD
MORROW, GA
ZIP 30260
Phone: (770) 882-5895
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Sir Allen Pegues is a professional counselor in Morrow, GA. Sir Allen Pegues NPI is 1447778410. 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:

1333 MOUNT ZION RD
MORROW, GA
ZIP 30260-357
Phone: (770) 882-5895

The enumeration date for this NPI number is 8/30/2017 and was last updated on 9/13/2017.

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
1	101Y00000X	Counselor		LPC008654	GEORGIA	No
2	101YM0800X	Counselor	Mental Health	LPC008654	GEORGIA	No
3	101YP2500X	Counselor	Professional	LPC008654	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	003191850A	MEDICAID	GEORGIA

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: 5/5/2024

NPI Synchronization or Removal

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