Organization · Type 2 NPI

Robert Kevin Hennelly, Lppc, LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Santa Fe, NM

NPI number 1073103552 Active

Practice location

2205 Miguel Chavez Rd Ste F
Santa Fe, NM 87505-1111

Call (505) 629-7108 Map

Mailing address

2916 Calle Derecha
Santa Fe, NM 87505-6530

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1073103552

Robert Kevin Hennelly, Lppc, LLC's National Provider Identifier is 1073103552, issued on Jan 19, 2021. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Santa Fe, NM. The record was last updated on Jan 19, 2021.