Provider Demographics
NPI:1770181984
Name:FEY, MCKENNA (LMFT)
Entity type:Individual
Prefix:MRS
First Name:MCKENNA
Middle Name:
Last Name:FEY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 FOLKSTONE DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-4217
Mailing Address - Country:US
Mailing Address - Phone:859-474-5023
Mailing Address - Fax:
Practice Address - Street 1:612 FOLKSTONE DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40517-4217
Practice Address - Country:US
Practice Address - Phone:859-474-5023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-12
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY297362106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist