Healthcare Provider Details

I. General information

NPI: 1811289499
Provider Name (Legal Business Name): ROSLYN KATE PURSLEY LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROSLYN KATE FRANKFATHER LMHC

II. Dates (important events)

Enumeration Date: 05/13/2011
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 NORTH MAIN
LOVINGTON NM
88260-2830
US

IV. Provider business mailing address

1600 NORTH MAIN
LOVINGTON NM
88260-2830
US

V. Phone/Fax

Practice location:
  • Phone: 575-396-6611
  • Fax: 575-396-1454
Mailing address:
  • Phone: 575-396-6611
  • Fax: 575-396-1454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0139431
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCP3021-R
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0159951
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: