Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PENDLETON COUNSELING CENTER
Active
Organization
PENDLETON COUNSELING CENTER
Active
Other names
Pendleton Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA FAYE PENDLETON (LICENSED CLINICAL SOCIAL WORKER)
(601) 201-4111
Entity
Organization
Contact information
Practice address
403 OLD TOWN CIR, BRANDON, MS 39042-3628
(601) 201-4111
(601) 825-1793
Mailing address
403 OLD TOWN CIR, BRANDON, MS 39042-3628
(601) 201-4111
(601) 825-1793
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06635891
—
MS
Enumeration date
10/20/2020
Last updated
10/20/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers