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NPI Code Detail

MEDICARE: THE KENNER CENTER LLC

MEDICARE: THE KENNER CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1942174768
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE KENNER CENTER LLC
Provider Business Mailing Address
First Line : 8161 HIGHWAY 100 UNIT 226
Second Line :
City : NASHVILLE
State : TN
Zip : 37221-4213
Country : US
Telephone Number : 312-860-3296
Fax Number :
Provider Business Practice Location Address
First Line : 1455 NW LEARY WAY STE 400
Second Line :
City : SEATTLE
State : WA
Zip : 98107-5138
Country : US
Telephone Number : 312-860-3296
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DAWN KENNER
Credential :
Telephone Number : 312-860-3296
Provider Enumeration Date : 10/03/2025
Last Update Date : 02/10/2026

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Directions to “THE KENNER CENTER LLC ” Practice Location

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