Healthcare Provider Details

I. General information

NPI: 1720620602
Provider Name (Legal Business Name): CURRACH COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2019
Last Update Date: 10/25/2021
Certification Date: 10/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 CAMINO DE LOS MARQUEZ
SANTA FE NM
87505-1837
US

IV. Provider business mailing address

505 CAMINO DE LOS MARQUEZ
SANTA FE NM
87505-1837
US

V. Phone/Fax

Practice location:
  • Phone: 505-636-5415
  • Fax: 505-204-7049
Mailing address:
  • Phone: 505-636-5415
  • Fax: 505-204-7049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: GENE DENNEHY
Title or Position: OWNER
Credential: LPCC
Phone: 505-239-1901