Provider Demographics
NPI:1134602527
Name:PEOPLES, KENYATTA (LMFT, LPC, AND LCDC)
Entity type:Individual
Prefix:
First Name:KENYATTA
Middle Name:
Last Name:PEOPLES
Suffix:
Gender:F
Credentials:LMFT, LPC, AND LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 ORCHID DR
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-1852
Mailing Address - Country:US
Mailing Address - Phone:254-458-5571
Mailing Address - Fax:
Practice Address - Street 1:201 ORCHID DR
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-1852
Practice Address - Country:US
Practice Address - Phone:254-458-5571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12854101YA0400X
TX76822101YP2500X
TX203167106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional