Organization
AMANDA DELOACH PENNEY, LPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA PENNEY LPC (OWNER)
(706) 237-9929
Entity
Organization
Contact information
Practice address
701 E 2ND AVE SW, SUITE A, ROME, GA 30161-6148
(706) 237-9929
Mailing address
701 E 2ND AVE SW, SUITE A, ROME, GA 30161-6148
(706) 237-9929
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0004767
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003137062C
—
GA
Enumeration date
04/01/2015
Last updated
04/01/2015
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