Pennington, Yvonne Vickery

Pennington, Yvonne Vickery is an individual health care provider with primary practice located at 300 West Wieuca Rd Blg 2 Ste 314, Atlanta GA 30312. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Pennington, Yvonne Vickery can be contacted via phone (404) 255-6967.

Contact Information

Primary practice address
300 West Wieuca Rd Blg 2 Ste 314 Atlanta GA 30312
Phone: (404) 255-6967
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC875 Georgia
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2248 Georgia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT502 Georgia

Profile Details

NPI number 1992923395
LBN Legal business name Pennington, Yvonne Vickery
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992923395 NPPES
Georgia MEDICAID 0082242313

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