Mrs. Lydia G Pennock, LCMHC
Counselor, Mental Health in Craftsbury Common, Vermont
1326559527- Practice location
- 328 Urie RD, Craftsbury Common, VT 05827-9756
- Phone
- 802-755-6780
- Fax
- —
- Last updated
- November 7, 2017
Lydia Goodwin Pennock is a Counselor, Mental Health based in Craftsbury Common, VT. Lydia Goodwin Pennock practices in Craftsbury Common, VT and has the professional credentials of LCMHC. The NPI Number for Lydia Goodwin Pennock is 1326559527 and holds a License No. 068.0051665 (VT). The current practice location address for Lydia Goodwin Pennock is 328 Urie RD, Craftsbury Common, VT 05827-9756 and can be reached out via phone at 802-755-6780.
Provider Profile Details
- NPI Number
- 1326559527
- Provider Name
- Lydia Goodwin Pennock
- Credential
- LCMHC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 328 Urie RD, Craftsbury Common, VT 05827-9756
- Phone Number
- 802-755-6780
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 16, 2017
- Last Update Date
- November 7, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 328 Urie RD
Craftsbury Common, VT 05827-9756 - State
- Vermont
- Zip
- 05827-9756
- Phone Number
- 802-755-6780
Provider Business Mailing Address Details
- Address
- 328 Urie RD
Craftsbury Common, VT 05827-9756 - City
- Craftsbury Common
- State
- VT
- Zip
- 05827-9756
- Phone Number
- 802-755-6780
License Information
- License Number
- 068.0051665
- License State
- VT
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Craftsbury Common, VT
View all Counselor, Mental Health providers in Craftsbury Common →Frequently Asked Questions
What is the NPI number of Mrs. Lydia G Pennock, LCMHC?
The NPI number of Mrs. Lydia G Pennock, LCMHC is 1326559527. It was assigned on October 16, 2017 and is currently active in the NPPES registry.
What is the specialty of Mrs. Lydia G Pennock, LCMHC?
Mrs. Lydia G Pennock, LCMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in VT under license number 068.0051665.
Where does Mrs. Lydia G Pennock, LCMHC practice?
The practice location is 328 Urie RD, Craftsbury Common, VT 05827-9756. The office can be reached at 802-755-6780 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326559527 directly on the NPPES registry website.