Healthcare Provider Details

I. General information

NPI: 1164368858
Provider Name (Legal Business Name): KHAN COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8732 PALOMAR AVE NE
ALBUQUERQUE NM
87109-7202
US

IV. Provider business mailing address

8732 PALOMAR AVE NE
ALBUQUERQUE NM
87109-7202
US

V. Phone/Fax

Practice location:
  • Phone: 505-358-8019
  • Fax: 505-358-8019
Mailing address:
  • Phone: 505-358-8019
  • Fax: 505-358-8019

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: ABBAS KHAN
Title or Position: OWNER/MANAGING MEMBER
Credential: LPCC
Phone: 505-358-8019