Provider Demographics
NPI:1275245003
Name:RAINEY, KENYA NINA (LPC)
Entity Type:Individual
Prefix:
First Name:KENYA
Middle Name:NINA
Last Name:RAINEY
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 1:195 FANNIE HENRY LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:39813-6347
Mailing Address - Country:US
Mailing Address - Phone:706-668-7016
Mailing Address - Fax:
Practice Address - Street 1:195 FANNIE HENRY LN
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:GA
Practice Address - Zip Code:39813-6347
Practice Address - Country:US
Practice Address - Phone:706-668-7016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-26
Last Update Date:2022-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional