IndividualActive
Amy Pendergrass, LPCC
NPI 1669003778 · Mental Health Counselor · Green, OH
Provider details
- NPI number
- 1669003778
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPCC
- Sex
- Female
- Sole proprietor
- No
- License
- C2002216TRNE (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
3575 Forest Lake Dr Ste 100
Green, OH 44685-8115
Phone: (330) 703-0105
Approximate (ZIP-level) locationGet directions
Mailing address
3575 Forest Lake Dr Ste 100
Green, OH 44685-8115
Registry dates
- Enumerated
- 2020-01-28
- Last updated
- 2026-01-14
- Certified
- 2026-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.