Healthcare Provider Details

I. General information

NPI: 1750296448
Provider Name (Legal Business Name): SIMRAN K TAFOYA P-LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12836 LOMAS BLVD NE STE B
ALBUQUERQUE NM
87112-6200
US

IV. Provider business mailing address

6109 COSTA BLANCA AVE NW
ALBUQUERQUE NM
87114-5849
US

V. Phone/Fax

Practice location:
  • Phone: 505-312-1179
  • Fax:
Mailing address:
  • Phone: 505-312-1179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCTB-2026-0671
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: