Provider Demographics
NPI:1912134628
Name:KENNEY, RITA MARIE (LPC)
Entity Type:Individual
Prefix:MS
First Name:RITA
Middle Name:MARIE
Last Name:KENNEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:RITA
Other - Middle Name:MARIE
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:PO BOX 1966
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71902-1966
Mailing Address - Country:US
Mailing Address - Phone:501-655-3006
Mailing Address - Fax:844-272-8975
Practice Address - Street 1:120 HILL ST
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-6238
Practice Address - Country:US
Practice Address - Phone:501-655-3006
Practice Address - Fax:844-272-8975
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-20
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007011991101YP2500X
ARP1602023101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARP1602023OtherARKANSAS BOARD OF EXAMINERS IN COUNSELING
MO2007011991OtherPROVISIONAL LICENSE PROFESSIONAL COUNSELOR