Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Robert S Pennello Sr., LCMHCS

Individual provider Professional Counselor · NPI 1750633129

Mr. Robert S Pennello Sr., LCMHCS is a Professional Counselor in Waxhaw, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2012

Practice location Address checks out

136 Waxhaw Pkwy Ste E110
Waxhaw, NC 28173-5029
Phone: (919) 522-1559
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence S8956 (NC)

Record details

NPI number1750633129
Entity typeIndividual (Type 1)
GenderMale
Credentials LCMHCS
Sole proprietorYes
NPI enumeratedOctober 10, 2012
Last updated in NPPESOctober 1, 2020
Certification dateOctober 1, 2020

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