Provider Demographics
NPI:1437518115
Name:PENNINGTON, LAWRENCE (LPC)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:
Last Name:PENNINGTON
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 W HIGH ST
Mailing Address - Street 2:209
Mailing Address - City:EBENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15931-1549
Mailing Address - Country:US
Mailing Address - Phone:814-419-8046
Mailing Address - Fax:814-419-8274
Practice Address - Street 1:313 W HIGH ST
Practice Address - Street 2:209
Practice Address - City:EBENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15931-1549
Practice Address - Country:US
Practice Address - Phone:814-419-8046
Practice Address - Fax:814-419-8274
Is Sole Proprietor?:No
Enumeration Date:2016-02-23
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC001455101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional