Healthcare Provider Details

I. General information

NPI: 1902415417
Provider Name (Legal Business Name): BRANDY KATE ACKLAND LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2020
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 W MERMOD ST
CARLSBAD NM
88220-4468
US

IV. Provider business mailing address

302 BLUEBIRD ST
CARLSBAD NM
88220-2806
US

V. Phone/Fax

Practice location:
  • Phone: 575-200-3929
  • Fax:
Mailing address:
  • Phone: 406-461-1899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCTB-2022-0277
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: