Dr Gerald W Pennie
Dr Gerald W Pennie is a Mental Health Clinic/Center (Including Community Mental Health Center) in Lubbock, Texas. Licensed in Texas. Registered with an NPI since 2017.
- Licensed in
- TX
- In the registry since
- 2017
- Specialties on file
- 3
Practice location Address checks out
3805 22nd St Ste 1CLubbock, TX 79410-1142
Phone: (713) 417-6057
Fax: (713) 417-6057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X · Licence 72286 (TX) |
|---|---|
| Adult Mental Health Clinic/Center | Taxonomy 261QM0850X · Licence 72286 (TX) |
| Adolescent and Children Mental Health Clinic/Center | Taxonomy 261QM0855X · Licence 72286 (TX) |
Record details
| NPI number | 1235667601 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gerald Pennie — Lead Counselor · (713) 417-6057 |
| Other names | Gerald Pennie; Gerald Pennie |
| NPI enumerated | May 31, 2017 |
| Last updated in NPPES | August 7, 2017 |
| Mailing address | 2735 Genoa Ave Apt 2b, Lubbock, TX 79407-7848 |
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