DR. TIM FENNELL PHD
NPI 1356618201
Counselor - Professional in Chamblee, GA

Active since November 21, 2011
3990 CLAIRMONT RD, CHAMBLEE, GA 30341(407) 595-0146(877) 260-8720 Get Directions Write a Review

NPPES record last updated: November 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Tim Fennell Phd NPPES

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

DR. TIM FENNELL PHD (NPI 1356618201) is an individual professional provider in Chamblee, Georgia, licensed in Georgia (LPC009594) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1356618201
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. TIM FENNELLCredential: PHD
Location Address3990 CLAIRMONT RDChamblee, GA 30341-4938
Mailing Address5703 Red Bug Lake Rd # 518Winter Springs, FL 32708-4969 · (407) 595-7006 · Fax (877) 260-8720
Fax(877) 260-8720
Sole ProprietorYes
Enumeration DateNovember 21, 2011
Last NPPES UpdateNovember 12, 2019
NPI 1356618201 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 · LPC009594
3990 CLAIRMONT RD, Chamblee, GA 30341

Other Providers at the Same Location NPPES 6

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

Counselor (Mental Health)
3990 CLAIRMONT RD
ATLANTA, GA 30341
Counselor (Professional)
3990 CLAIRMONT RD
ATLANTA, GA 30341
Social Worker (Clinical)
3990 CLAIRMONT RD
CHAMBLEE, GA 30341
Counselor (Mental Health)
3990 CLAIRMONT RD
CHAMBLEE, GA 30341
Counselor (Professional)
3990 CLAIRMONT RD
CHAMBLEE, GA 30341
Social Worker (Clinical)
3990 CLAIRMONT RD
CHAMBLEE, GA 30341

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 Tim Fennell's NPI number?

The NPI number for Tim Fennell is 1356618201. It was assigned to this individual provider in the NPPES registry on November 21, 2011.

Where is Tim Fennell located?

Tim Fennell practices at 3990 Clairmont Rd, Chamblee, GA 30341. The listed phone number is (407) 595-0146.

What is Tim Fennell'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 Tim Fennell was last updated on November 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.