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Robert Kevin Hennelly, Lppc, Llc
Adolescent and Children Mental Health Clinic/Center in Santa Fe, New Mexico
NPI 1073103552

Robert Kevin Hennelly, Lppc, Llc is an Adolescent and Children Mental Health Clinic/Center based in Santa Fe, NM and is specialized in Adolescent and Children Mental Health. Robert Kevin Hennelly, Lppc, Llc practices in Santa Fe, NM. The NPI Number for Robert Kevin Hennelly, Lppc, Llc is 1073103552 and holds a License No. (New Mexico).

The current practice location address for Robert Kevin Hennelly, Lppc, Llc is 2205 Miguel Chavez Rd Ste F, Santa Fe, NM and can be reached out via phone at 505-629-7108.

Location: 2205 Miguel Chavez Rd Ste F, Santa Fe, NM, 87505-6530
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073103552
Provider Name
Robert Kevin Hennelly, Lppc, Llc
Credential
Provider Entity Type
Organization
Address
2205 Miguel Chavez Rd Ste F, Santa Fe, NM, 87505-6530
Phone Number
505-629-7108
Fax Number
Provider Enumeration Date
01/19/2021
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
25087827 05 NM
institution
Provider Business Practice Location Address Details
Address
2205 Miguel Chavez Rd Ste F
City
Santa Fe
State
New Mexico
Zip
87505-1111
Phone Number
505-629-7108
Fax Number
person
Provider Business Mailing Address Details
Address
2205 Miguel Chavez Rd Ste F
City
Santa Fe
State
New Mexico
Zip
87505-1111
Phone Number
505-629-7108
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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