Provider Demographics
NPI:1770234858
Name:PENNINGS, KATHRYN (MS, PLPC)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:PENNINGS
Suffix:
Gender:F
Credentials:MS, PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4829 PRYTANIA ST STE 201
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-4059
Mailing Address - Country:US
Mailing Address - Phone:504-517-2223
Mailing Address - Fax:
Practice Address - Street 1:4829 PRYTANIA ST STE 201
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-4059
Practice Address - Country:US
Practice Address - Phone:504-517-2223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-11
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC8292101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health