Healthcare Provider Details

I. General information

NPI: 1013461730
Provider Name (Legal Business Name): NIHAL M. HASSAN LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2016
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 WELLESLEY DR NE
ALBUQUERQUE NM
87107-1812
US

IV. Provider business mailing address

BUILDING 73 MSC 06-3870
ALBUQUERQUE NM
87131-0001
US

V. Phone/Fax

Practice location:
  • Phone: 505-766-9361
  • Fax: 505-243-2252
Mailing address:
  • Phone: 505-277-3136
  • Fax: 505-277-2020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberT-0182841
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: