Robert Kevin Hennelly, Lppc, Llc

LBN: Robert Kevin Hennelly, Lppc, Llc
Robert Kevin Hennelly, Lppc, Llc is an health care organization with primary practice located at 2205 Miguel Chavez Rd Ste F , Santa Fe NM 87505-1111. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Robert Kevin Hennelly, Lppc, Llc can be contacted via phone (505) 629-7108, or through Hennelly, Robert K via phone (505) 629-7108.

Contact Information

Primary practice address
2205 Miguel Chavez Rd Ste F Santa Fe NM 87505-1111
Phone: (505) 629-7108
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hennelly, Robert K LPPC
Phone: (505) 629-7108

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1073103552
LBN Legal business name Robert Kevin Hennelly, Lppc, Llc
DBA Doing business as
Authorized official Hennelly, Robert K LPPC
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2021
Last updated Jan 19th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073103552 NPPES
New Mexico MEDICAID 25087827

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