Lawana D Kennedy, LIC. PROF. COUNSELOR

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3569 Issued in AL

Practice address

316 Bel Air Blvd Ste 304
Mobile, AL 36606-3507

Phone

(251) 680-4217

NPI assigned

Oct 1, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Living Authentically Counseling Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mobile, AL
  • NPI 1013762798
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1215412770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 BEL AIR BLVD STE 304",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063507",
            "telephone_number": "251-680-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 BEL AIR BLVD STE 304",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063507",
            "telephone_number": "251-680-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "LAWANA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "LIC. PROF. COUNSELOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2023-11-13",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmund R Kenan
• Todd J Kendall, MD
• Bertha Lafaye Kennedy
• Celestine Carrie Kennedy
• Elizabeth T Kennedy, PT
• Patsy A. Kennedy, CRNP
• Quinn E Kennedy, DC
• Ruth Kennedy, CRNP
• Timothy Kennedy
• Kenneth C. Lambert, Jr. D.M.D., P.C.

• Professional Counselor in Mobile, AL
• Providers in Mobile, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.