Provider Demographics
NPI:1427854488
Name:MCKENNA, EMILY LC (LPC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:LC
Last Name:MCKENNA
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:L
Other - Last Name:CABLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1329 CHERRY WAY DR STE 700
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43230-6799
Mailing Address - Country:US
Mailing Address - Phone:614-852-4866
Mailing Address - Fax:
Practice Address - Street 1:1329 CHERRY WAY DR STE 700
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43230-6799
Practice Address - Country:US
Practice Address - Phone:614-852-4866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2405909101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health