Healthcare Provider Details

I. General information

NPI: 1740037985
Provider Name (Legal Business Name): STAY THE COURSE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2024
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

718 CENTRAL AVE SW
ALBUQUERQUE NM
87102-3008
US

IV. Provider business mailing address

1318 DOUGLAS MACARTHUR RD NW
ALBUQUERQUE NM
87107-3327
US

V. Phone/Fax

Practice location:
  • Phone: 505-453-4304
  • Fax:
Mailing address:
  • Phone: 505-453-4304
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ANDREA TAYLOR
Title or Position: OWNER/LPCC
Credential: LPCC
Phone: 505-453-4304