Provider Demographics
NPI:1487209169
Name:DENNEY, KENZIE P (LMHC)
Entity Type:Individual
Prefix:
First Name:KENZIE
Middle Name:P
Last Name:DENNEY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:KENZIE
Other - Middle Name:P
Other - Last Name:TROXELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:240 N TILLOTSON AVE
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304-3988
Mailing Address - Country:US
Mailing Address - Phone:765-288-1928
Mailing Address - Fax:
Practice Address - Street 1:3620 W WHITE RIVER BLVD STE 2
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47304-4286
Practice Address - Country:US
Practice Address - Phone:765-288-1928
Practice Address - Fax:765-288-2032
Is Sole Proprietor?:No
Enumeration Date:2019-08-08
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN88001036A101Y00000X
IN39004267A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor