Healthcare Provider Details

I. General information

NPI: 1174238893
Provider Name (Legal Business Name): KENSLEY S MAY LPC, NCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2023
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4358 LINCOLN ROAD EXT STE 20
HATTIESBURG MS
39402-3275
US

IV. Provider business mailing address

4358 LINCOLN ROAD EXT STE 20
HATTIESBURG MS
39402-3275
US

V. Phone/Fax

Practice location:
  • Phone: 769-304-6771
  • Fax: 769-216-1553
Mailing address:
  • Phone: 769-304-6771
  • Fax: 769-216-1553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberTEL1053
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3274
License Number StateMS
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC06162
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: