Robert Kevin Hennelly, Lppc, LLC

NPI #1073103552 in Santa Fe, New Mexico

Provider Information

NPI Number
1073103552
Entity Type
Organization
Organization Name
Robert Kevin Hennelly, Lppc, LLC
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Jan 19, 2021
Last Updated
Jan 19, 2021

Practice Location

Address
2205 MIGUEL CHAVEZ RD STE F
ZIP Code
87505-1111
Phone
(505) 629-7108

Authorized Official

Name
ROBERT K HENNELLY, LPPC
Title
PSYCHOTHERAPIST
Phone
(505) 629-7108

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Mental HealthAdult Mental Health
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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