IndividualActive
Alexis Pennington, LCMHC
NPI 1366196180 · Mental Health Counselor · Rutland, VT
Provider details
- NPI number
- 1366196180
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LCMHC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 068.0134454 (VT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
78 S Main St
Rutland, VT 05701-4594
Phone: (802) 747-7699
Fax: (802) 747-7699
Approximate (ZIP-level) locationGet directions
Mailing address
78 S Main St
Rutland, VT 05701-4594
Registry dates
- Enumerated
- 2022-02-10
- Last updated
- 2022-02-10
- Certified
- 2022-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.