Healthcare Provider Details

I. General information

NPI: 1114293040
Provider Name (Legal Business Name): FRANKIE MAE KENNEDY LMHC, LCAS, LPC, CDP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: FRANKIE MAE KENNEDY PHD, LMHC, CDP

II. Dates (important events)

Enumeration Date: 03/26/2012
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 160TH ST S STE 101
SPANAWAY WA
98387-8508
US

IV. Provider business mailing address

201 160TH ST S STE 101
SPANAWAY WA
98387-8508
US

V. Phone/Fax

Practice location:
  • Phone: 206-747-6989
  • Fax:
Mailing address:
  • Phone: 206-747-6989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number60505969
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number60818170
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: