Provider Demographics
NPI:1316668189
Name:HURULA, SARA RACHELE (LPC, LAC)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:RACHELE
Last Name:HURULA
Suffix:
Gender:F
Credentials:LPC, LAC
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:RACHELE
Other - Last Name:LAPORTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, LAC
Mailing Address - Street 1:6446 TURRET DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-3223
Mailing Address - Country:US
Mailing Address - Phone:719-244-3632
Mailing Address - Fax:
Practice Address - Street 1:6446 TURRET DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-3223
Practice Address - Country:US
Practice Address - Phone:719-244-3632
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-08
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0020432101YP2500X
COACD.0002303101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty