Provider Demographics
NPI:1447087564
Name:MCKINNEY, CAILIN LOUISE (LPCC)
Entity type:Individual
Prefix:
First Name:CAILIN
Middle Name:LOUISE
Last Name:MCKINNEY
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7709 CIRCLE CREST RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-2805
Mailing Address - Country:US
Mailing Address - Phone:502-552-3392
Mailing Address - Fax:
Practice Address - Street 1:1017 BAXTER AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40204-1605
Practice Address - Country:US
Practice Address - Phone:502-552-3392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-14
Last Update Date:2024-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY294617101YM0800X
KY101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health