Healthcare Provider Details

I. General information

NPI: 1992126700
Provider Name (Legal Business Name): KESHA MCCLURE-HUNLEY LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2013
Last Update Date: 11/13/2024
Certification Date: 11/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 W 5TH ST STE 219
COVINGTON KY
41011-1293
US

IV. Provider business mailing address

200 HOME RD
COVINGTON KY
41011-1942
US

V. Phone/Fax

Practice location:
  • Phone: 592-618-7688
  • Fax: 859-291-2431
Mailing address:
  • Phone: 592-618-7688
  • Fax: 859-291-2431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: