Provider Demographics
NPI:1144018532
Name:MCKENZIE, KAYELLEN (MA, LPCC)
Entity type:Individual
Prefix:
First Name:KAYELLEN
Middle Name:
Last Name:MCKENZIE
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1465 WATTS MILL RD
Mailing Address - Street 2:
Mailing Address - City:NICHOLASVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356-8178
Mailing Address - Country:US
Mailing Address - Phone:859-519-8138
Mailing Address - Fax:
Practice Address - Street 1:870 CORPORATE DR STE 301
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-5419
Practice Address - Country:US
Practice Address - Phone:859-242-5201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY297231101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional