Provider Demographics
NPI:1417587817
Name:RINGOS, LARA JADE (LPC)
Entity type:Individual
Prefix:
First Name:LARA
Middle Name:JADE
Last Name:RINGOS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5304 RICE DR
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-1326
Mailing Address - Country:US
Mailing Address - Phone:972-821-3952
Mailing Address - Fax:
Practice Address - Street 1:6136 FRISCO SQUARE BLVD STE 400
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-3251
Practice Address - Country:US
Practice Address - Phone:469-592-8845
Practice Address - Fax:469-592-8846
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-24
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX79195101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX79195OtherTEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS