Provider Demographics
NPI:1558606657
Name:CRAWFORD, KENYA LASHANE (LPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:KENYA
Middle Name:LASHANE
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 WARRIOR RD
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:MS
Mailing Address - Zip Code:39773-3227
Mailing Address - Country:US
Mailing Address - Phone:662-295-6779
Mailing Address - Fax:662-524-4734
Practice Address - Street 1:1453 W CHURCH HILL RD
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:MS
Practice Address - Zip Code:39773-9477
Practice Address - Country:US
Practice Address - Phone:662-524-4734
Practice Address - Fax:662-524-4734
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-30
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1675101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional