| Doctor Name: | DR. W H PENEWIT |
| NPI Number: | 1114181179 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.MIN |
| License Number: | 47174 |
| Business Practice Address: | 700 Ne Loop 820 Suite 200 B Hurst, TX - 760534634 |
| Business Phone Number: | 8178980490 |
| Business Fax Number: | |
| Mailing Address: | 700 Ne Loop 820, Suite 200 B HURST |
| State: | TX |
| Postal Code: | 760534634 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/17/2008 |
| NPI Last Update Date: | 07/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 47174 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |