Penta C. Enterprices, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

101YM0800X Issued in GA

Legal business name

PENTA C. ENTERPRICES, INC.

Practice address

3009 Rainbow Dr
142
Decatur, GA 30034-1680

Phone

(404) 243-1992

Fax

(404) 243-4903

NPI assigned

Jul 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alice Cannon

Title

Director

Phone

(404) 243-1992

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821296567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 RAINBOW DR",
            "address_2": "142",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341680",
            "telephone_number": "404-243-1992",
            "fax_number": "404-243-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 RAINBOW DR",
            "address_2": "142",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341680",
            "telephone_number": "404-243-1992",
            "fax_number": "404-243-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENTA C. ENTERPRICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-243-1992"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "101YM0800X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Ruth Pendleton, LCSW
• Christine Joanne Penguino, LMSW
• Emily Peninger, MD
• Suzanne Penna, PH.D.
• Miracle Penny
• Katherine Penton, APRN, AGNP-C
• People of Promise
• Miriam Aleese Percell Cummings
• Alicia Perdue, LMT
• Alexander C. Perez, M.D.

• Mental Health Counselor in Decatur, GA
• Providers in Decatur, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.