QUINNISE PETTWAY, LPC, NCC
NPI 1144512591
Counselor - Professional in Roswell, GA

Active since May 04, 2011
490 SUN VALLEY DR, SUITE 205, ROSWELL, GA 30076(770) 642-4236 Get Directions Write a Review

NPPES record last updated: May 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Quinnise Pettway, Lpc, Ncc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QUINNISE PETTWAY, LPC, NCC (NPI 1144512591) is a healthcare organization registered as a professional in Roswell, Georgia and active in the NPI registry since May 2011. The organization lists Quinnise Pettway, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1144512591
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameQUINNISE PETTWAY, LPC, NCC
Location Address490 SUN VALLEY DR, SUITE 205Roswell, GA 30076-5615
Mailing Address490 Sun Valley Dr, Suite 205Roswell, GA 30076-5615 · (770) 642-4236
Organization SubpartNo
Authorized OfficialQuinnise PettwayOwner/president · (770) 642-4236
Enumeration DateMay 4, 2011
NPI 1144512591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · LPC006121
490 SUN VALLEY DR, Roswell, GA 30076

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
490 SUN VALLEY DR, STE. 205
ROSWELL, GA 30076
Counselor (Professional)
490 SUN VALLEY DR, SUITE 205
ROSWELL, GA 30076
Counselor (Professional)
490 SUN VALLEY DR, SUITE205
ROSWELL, GA 30076
Counselor (Mental Health)
490 SUN VALLEY DR, SUITE 205
ROSWELL, GA 30076
Psychologist (Clinical)
490 SUN VALLEY DR, SUITE 205
ROSWELL, GA 30076
Counselor (Professional)
490 SUN VALLEY DR, SUITE 205
ROSWELL, GA 30076
Counselor (Professional)
490 SUN VALLEY DR, SUITE 205
ROSWELL, GA 30076
Naturopath
490 SUN VALLEY DR, SUITE 203
ROSWELL, GA 30076

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Quinnise Pettway, Lpc, Ncc's NPI number?

The NPI number for Quinnise Pettway, Lpc, Ncc is 1144512591. It was assigned to this organization in the NPPES registry on May 4, 2011.

Where is Quinnise Pettway, Lpc, Ncc located?

Quinnise Pettway, Lpc, Ncc is located at 490 Sun Valley Dr Suite 205, Roswell, GA 30076. The listed phone number is (770) 642-4236.

What is Quinnise Pettway, Lpc, Ncc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Quinnise Pettway, Lpc, Ncc was last updated on May 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.