Provider Demographics
NPI:1730986142
Name:KENNEDY, ROCHELLE (LPC-MHSP)
Entity type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:
Last Name:KENNEDY
Suffix:
Gender:
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3437 AUTUMN OAKES CT
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-0856
Mailing Address - Country:US
Mailing Address - Phone:615-663-6186
Mailing Address - Fax:
Practice Address - Street 1:2670 MEMORIAL BLVD STE C
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-5134
Practice Address - Country:US
Practice Address - Phone:615-663-6186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4500101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health