IndividualActive
Carly Brack
NPI 1104289966 · Marriage & Family Therapist · Las Cruces, NM
Provider details
- NPI number
- 1104289966
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- CTB20220194 (NM)
Practice location
390 Calle De Alegra Ste C
Las Cruces, NM 88005-3280
Phone: (575) 222-4588
Mailing address
3100 Oak St
Las Cruces, NM 88005-3769
Registry dates
- Enumerated
- 2016-03-30
- Last updated
- 2026-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.