Provider Demographics
NPI:1013461730
Name:HASSAN, NIHAL M (LMHC)
Entity Type:Individual
Prefix:
First Name:NIHAL
Middle Name:M
Last Name:HASSAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 WELLESLEY DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87107-1812
Mailing Address - Country:US
Mailing Address - Phone:505-766-9361
Mailing Address - Fax:505-243-2252
Practice Address - Street 1:2400 WELLESLEY DR NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-1812
Practice Address - Country:US
Practice Address - Phone:505-766-9361
Practice Address - Fax:505-243-2252
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-10
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMT-0182841101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMT-0182841OtherNM REGULATION & LICENSING DEPARTMENT COUNSELING AND THERAPY PRACTICE BOARD