Acker, Leta
Acker, Leta is an individual health care provider with primary practice located at 1616 S Kentucky St Bldg. D Suite 260, Amarillo TX 79102-2252. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Acker, Leta can be contacted via phone (806) 468-8900.Contact Information
Primary practice address
1616 S Kentucky St Bldg. D Suite 260
Amarillo TX 79102-2252
Phone: (806) 468-8900
Fax: (806) 468-8902
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 13861 | Texas |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 2470 | Texas |
Profile Details
| NPI number | 1619052875 |
|---|---|
| LBN Legal business name | Acker, Leta |
| Credentials | LPC, LMFT, PA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Feb 27th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619052875 | NPPES |
| Texas | MEDICAID | 109355101 | |
| Texas | MEDICAID | 121950302 | |
| Texas | MEDICAID | 1619052875 |
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