Individual
PHUNDA LADELL PENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9859 FREEDOMS WAY, KEITHVILLE, LA 71047-9229
(318) 230-3285
Mailing address
9859 FREEDOMS WAY, KEITHVILLE, LA 71047-9229
(318) 230-3285
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
646
LA
225C00000X
Rehabilitation Counselor
Primary
646
LA
Other
Enumeration date
04/07/2026
Last updated
04/14/2026
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