Provider Demographics
NPI:1831080886
Name:KENNEY, ANGELA (MS, LMFT)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:KENNEY
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 W PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:MN
Mailing Address - Zip Code:56034-4536
Mailing Address - Country:US
Mailing Address - Phone:507-546-3295
Mailing Address - Fax:
Practice Address - Street 1:114 W PLEASANT ST
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:MN
Practice Address - Zip Code:56034-4536
Practice Address - Country:US
Practice Address - Phone:507-546-3295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2353106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist