Provider Demographics
NPI:1508442021
Name:PENNINGTON, ZACHARY SKYE (LPC)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:SKYE
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 1:9618 S CONGRESS ST
Mailing Address - Street 2:
Mailing Address - City:NEW MARKET
Mailing Address - State:VA
Mailing Address - Zip Code:22844-9450
Mailing Address - Country:US
Mailing Address - Phone:540-478-2378
Mailing Address - Fax:
Practice Address - Street 1:58 KENMORE ST
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-4338
Practice Address - Country:US
Practice Address - Phone:540-251-7728
Practice Address - Fax:540-434-2127
Is Sole Proprietor?:No
Enumeration Date:2021-03-23
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701010354101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional