Provider Demographics
NPI:1174564926
Name:KENY, JANET R (LPC)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:R
Last Name:KENY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 S COLONIAL AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28207-1400
Mailing Address - Country:US
Mailing Address - Phone:704-335-8719
Mailing Address - Fax:704-335-8717
Practice Address - Street 1:118 S COLONIAL AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207-1400
Practice Address - Country:US
Practice Address - Phone:704-335-8719
Practice Address - Fax:704-335-8717
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC951101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health