Provider Demographics
NPI:1992357875
Name:KENNEY, MARGARET DIANN (MS, LCDC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:DIANN
Last Name:KENNEY
Suffix:
Gender:F
Credentials:MS, LCDC, LPC
Other - Prefix:MS
Other - First Name:MARGARET
Other - Middle Name:DIANN
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14827 AUTUMN LONG TRL
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-4923
Mailing Address - Country:US
Mailing Address - Phone:210-781-1010
Mailing Address - Fax:
Practice Address - Street 1:14827 AUTUMN LONG TRL
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-4923
Practice Address - Country:US
Practice Address - Phone:210-781-1010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-11
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77078101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1992357875OtherEMPLOYER