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GERALD PENNIE
NPI 1235667601
Clinic/Center - Mental Health (Including Community Mental Health Center) in Lubbock, TX

Active since May 31, 2017
3805 22ND ST STE 1C, LUBBOCK, TX 79410(713) 417-6057(713) 417-6057 Get Directions Write a Review

NPPES record last updated: August 7, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 7, 2017, May 31, 2017 (2 updates tracked since 2017).

About Gerald Pennie NPPES

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

GERALD PENNIE (NPI 1235667601) is a healthcare organization registered as a mental health (including community mental health center) in Lubbock, Texas and active in the NPI registry since May 2017. The organization lists Gerald Wayne Pennie, Lead Counselor, as its authorized official.

NPPES Registry Identity

NPI1235667601
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameDR GERALD W PENNIE
Location Address3805 22ND ST STE 1CLubbock, TX 79410-1142
Mailing Address2735 Genoa Ave Apt 2bLubbock, TX 79407-7848 · (713) 417-6057
Phone(713) 417-6057
Fax(713) 417-6057
Organization SubpartNo
Authorized OfficialGerald Wayne PennieLead Counselor · (713) 417-6057
Enumeration DateMay 31, 2017
Last NPPES UpdateAugust 7, 20172 updates tracked since enumeration
✔ NPI 1235667601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in TX · 72286
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License 72286 (TX)
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X · License 72286 (TX)
3805 22ND ST STE 1C, Lubbock, TX 79410
Open in Google Maps ↗

Other Names 1

Doing Business AsGerald Pennie

Other Providers at the Same Location NPPES 4

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

THE PRACTICE: HEALING BODY, MIND, AND SOUL PLLC
Counselor (Professional)
3805 22ND ST STE 1C
LUBBOCK, TX 79410
Lubbock County (806) 577-2844
LEAH MAILMAN LCSW
Counselor
3805 22ND ST STE 1C
LUBBOCK, TX 79410
Lubbock County (806) 535-4626
DR. CODY WILLIAM DICKSON PHD, LPC, NCC
Counselor (Professional)
3805 22ND ST STE 1C
LUBBOCK, TX 79410
Lubbock County (806) 252-6633
DR. GERALD WAYNE PENNIE PHD, LPC, NCC
Counselor (Professional)
3805 22ND ST STE 1C
LUBBOCK, TX 79410
Lubbock County (713) 417-6057

Frequently Asked Questions

What is DR GERALD W PENNIE's NPI number?

The NPI number assigned to this healthcare provider is 1235667601, enumerated as an "organization" on May 31, 2017.

Where is the provider located?

The provider is located at 3805 22ND ST STE 1C LUBBOCK, TX 79410 and the phone number is (713) 417-6057.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).