Pendergrass, Amy E

Pendergrass, Amy E is an individual health care provider with primary practice located at 3575 Forest Lake Dr Ste 100 , Green OH 44685-8115. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Pendergrass, Amy E can be contacted via phone (330) 703-0105.

Contact Information

Primary practice address
3575 Forest Lake Dr Ste 100 Green OH 44685-8115
Phone: (330) 703-0105
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X C2002216TRNE Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E.2606161 Ohio

Profile Details

NPI number 1669003778
LBN Legal business name Pendergrass, Amy E
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2020
Last updated Jan 14th, 2026 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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