Healthcare Provider Details

I. General information

NPI: 1073486601
Provider Name (Legal Business Name): SARAH ANNE KENNY LPCMH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

391 HORSE TRAIL LN
FELTON DE
19943-6638
US

IV. Provider business mailing address

391 HORSE TRAIL LN
FELTON DE
19943-6638
US

V. Phone/Fax

Practice location:
  • Phone: 302-563-8713
  • Fax:
Mailing address:
  • Phone: 302-563-8713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC-0012068
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAC-0010397
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: