Individual
ANDREW R PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
6698 68TH AVE N STE 414, PINELLAS PARK, FL 33781-5015
(727) 405-2450
(727) 405-2450
Mailing address
6524 50TH AVE N, ST PETERSBURG, FL 33709-3112
(727) 405-2450
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
068.0136273TELE
VT
101YM0800X
Mental Health Counselor
Primary
MH17862
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106080400
—
FL
01
—
MH17862
STATE LICENSE
FL
Enumeration date
04/01/2020
Last updated
03/27/2026
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