Individual provider · Type 1 NPI
Tina Bates Pennington, L.P.C.
Addiction (Substance Use Disorder) Counselor · Nixa, MO
NPI number
1760547723
Active
Practice location
308 N Laurel Ln
Nixa, MO 65714-8582
Fax (417) 725-7701
Mailing address
PO Box 2356
Nixa, MO 65714-2356
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 2000153606 (MO) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 2000153606 (MO) |
| Mental Health Counselor | 101YM0800X | 2000153606 (MO) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1760547723
Tina Bates Pennington, L.P.C.'s National Provider Identifier is 1760547723, issued on Dec 27, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Nixa, MO. The record was last updated on Sep 11, 2025.