Healthcare Provider Details

I. General information

NPI: 1306754262
Provider Name (Legal Business Name): ARIEL BROOKMAN FINE LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LEESA ARIEL BROOKMAN FINE LMFT

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1304 OHIO AVE
ALAMOGORDO NM
88310-6655
US

IV. Provider business mailing address

1304 OHIO AVE
ALAMOGORDO NM
88310-6655
US

V. Phone/Fax

Practice location:
  • Phone: 575-295-2807
  • Fax: --
Mailing address:
  • Phone: 575-295-2807
  • Fax: --

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT27157
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: