Ms. Peggy Lynn Fendley
Mental Health Counselor
3407 Shamrock Ct
Gautier
, Mississippi 39553-6429
Ms. Peggy Lynn Fendley
Mental Health Counselor
3407 Shamrock Ct
Gautier
, Mississippi 39553-6429
(228) 497-1363
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Ms. Peggy Lynn Fendley
- 3407 Shamrock Ct
- Gautier, MS
- Zip : 39553-6429
- Fax : (228) 497-1363
- Phone : (228) 497-0690
Second Address
- Ms. Peggy Lynn Fendley
- 3407 Shamrock Ct
- Gautier, MS
- Zip : 39553-6429
- Fax : (228) 497-1363
- Phone : (228) 497-0690
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Is Ms. Peggy Lynn Fendley a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor |
National Provider Identifier
| NPI | 1003118662 |
|---|---|
| Provider Name | Ms. Peggy Lynn Fendley |
| First Address | Gautier, MS 39553-6429 |
| Second Address | Gautier, MS 39553-6429 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/12/2010 |
| Last Update Date | 02/12/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00018214 | (05) | MS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.