Provider Demographics
NPI:1386358414
Name:KENNEY, TAMARA HURLBURT (LMSW)
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:HURLBURT
Last Name:KENNEY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NOYES MENTAL HEALTH AND WELLNESS
Mailing Address - Street 2:9221 ROBERT HART DRIVE
Mailing Address - City:DANSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14437
Mailing Address - Country:US
Mailing Address - Phone:585-335-4316
Mailing Address - Fax:585-335-3577
Practice Address - Street 1:NOYES MENTAL HEALTH AND WELLNESS
Practice Address - Street 2:9221 ROBERT HART DRIVE
Practice Address - City:DANSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14437
Practice Address - Country:US
Practice Address - Phone:585-335-4316
Practice Address - Fax:585-335-3577
Is Sole Proprietor?:No
Enumeration Date:2023-01-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health