Provider Demographics
NPI:1003163080
Name:ALMOND, PENNY J (LPC)
Entity type:Individual
Prefix:MRS
First Name:PENNY
Middle Name:J
Last Name:ALMOND
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 LESLIE ST
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-7754
Mailing Address - Country:US
Mailing Address - Phone:501-538-9360
Mailing Address - Fax:
Practice Address - Street 1:1401 MALVERN AVE STE 270
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-6371
Practice Address - Country:US
Practice Address - Phone:501-538-9360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-09
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR0339L101YA0400X
ARA1209075101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR1003163080OtherHEALTHSCOPE
AR5II63OtherUSAWM
AR5II63OtherHEALTH ADVANTAGE
AR5768864OtherAETNA
AR5II63OtherBLUE CROSS BLUE SHIELD
AR1003163080OtherQUALCHOICE