Provider Demographics
NPI:1477801652
Name:SMOKE, KENYA T (MA, MFT, LMSW)
Entity Type:Individual
Prefix:MR
First Name:KENYA
Middle Name:T
Last Name:SMOKE
Suffix:
Gender:M
Credentials:MA, MFT, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 RIVER ROAD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801-6603
Mailing Address - Country:US
Mailing Address - Phone:302-857-5060
Mailing Address - Fax:302-857-5061
Practice Address - Street 1:100 W 10TH ST
Practice Address - Street 2:SUITE 415
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-6603
Practice Address - Country:US
Practice Address - Phone:302-654-5471
Practice Address - Fax:302-654-5472
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-21
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ3-0010786101YM0800X
101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)