Healthcare Provider Details

I. General information

NPI: 1265972459
Provider Name (Legal Business Name): FARIBA JULAI LAMFT, LMHC, LSAA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2017
Last Update Date: 01/26/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 S, SOLANO DRRIVE
LAS CRUCES NM
88001-3758
US

IV. Provider business mailing address

1320 S SOLANO DRIVE
LAS CRUCES NM
88001-3758
US

V. Phone/Fax

Practice location:
  • Phone: 575-522-4004
  • Fax: 575-522-9017
Mailing address:
  • Phone: 575-522-4004
  • Fax: 575-522-9017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License NumberCSA-0179721
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberCTB-2025-0833
License Number StateNM
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberCTB-2025-0269
License Number StateNM
# 4
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: