Healthcare Provider Details

I. General information

NPI: 1710381033
Provider Name (Legal Business Name): DARVI BROOKS MA, LPCC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2014
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

438 ASH ST NE
ALBUQUERQUE NM
87106-4558
US

IV. Provider business mailing address

438 ASH ST NE
ALBUQUERQUE NM
87106-4558
US

V. Phone/Fax

Practice location:
  • Phone: 720-585-4246
  • Fax:
Mailing address:
  • Phone: 720-585-4246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCTB-2023-0524
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: