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General NPI Number Information
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NPI Number | 1275401721
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Entity Type | Individual
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Provider Name | TYNESHA PENNY
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Gender | Female
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 12/20/2025
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Provider Practice Location Address
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Address Line | 2945 TOWNSGATE RD STE 200
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-5866
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Country | US
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Telephone | 805-342-0222
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Fax | 805-480-4965
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Provider Business Mailing Address
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Address Line | 2945 TOWNSGATE RD STE 200
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-5866
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Country | US
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Telephone | 805-342-0222
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Fax | 805-480-4965
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | AMFT155658
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License Number State | CA
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