Healthcare Provider Details

I. General information

NPI: 1154279859
Provider Name (Legal Business Name): HAPPY TRAILS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 ENCINO PL NE STE 11
ALBUQUERQUE NM
87102-2638
US

IV. Provider business mailing address

905 PRINCETON DR SE
ALBUQUERQUE NM
87106-3034
US

V. Phone/Fax

Practice location:
  • Phone: 505-991-9669
  • Fax:
Mailing address:
  • Phone: 505-991-9669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. KATHERYN ROSE BARRY
Title or Position: THERAPIST
Credential: LCSW
Phone: 505-991-9669