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Tina Bates Pennington, LPC
Mental Health Counselor in Nixa, Missouri
NPI 1760547723

Tina Bates Pennington is a Mental Health Counselor based in Nixa, MO and is specialized in Mental Health. Tina Bates Pennington practices in Nixa, MO and has the professional credentials of LPC. The NPI Number for Tina Bates Pennington is 1760547723 and holds a License No. 2000153606 (Missouri).

The current practice location address for Tina Bates Pennington is 308 N Laurel Ln, Nixa, MO and can be reached out via phone at 417-848-7356 and via fax at 417-725-7701.

Location: 308 N Laurel Ln, Nixa, MO, 65714-2356
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760547723
Provider Name
Tina Bates Pennington
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
308 N Laurel Ln, Nixa, MO, 65714-2356
Phone Number
417-848-7356
Fax Number
417-725-7701
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11564203 01 MO CACQ PROVIDER ID
2000153606 01 MO L.P.C. LICENSE NUMBER
494644305 05 MO
institution
Provider Business Practice Location Address Details
Address
308 N Laurel Ln
City
Nixa
State
Missouri
Zip
65714-8582
Phone Number
417-848-7356
Fax Number
417-725-7701
person
Provider Business Mailing Address Details
Address
308 N Laurel Ln
City
Nixa
State
Missouri
Zip
65714-8582
Phone Number
417-848-7356
Fax Number
417-725-7701
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
2000153606 (Missouri)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
2000153606 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
2000153606 (Missouri)
Definition
Definition to come...
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