Provider Demographics
NPI:1487890364
Name:LA MASTRA, CHERYL BELL (LPC-S)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:BELL
Last Name:LA MASTRA
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 N DALLAS PKWY
Mailing Address - Street 2:SUITE 120
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5993
Mailing Address - Country:US
Mailing Address - Phone:972-473-0500
Mailing Address - Fax:972-781-0203
Practice Address - Street 1:2800 N DALLAS PKWY
Practice Address - Street 2:SUITE 120
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5993
Practice Address - Country:US
Practice Address - Phone:972-473-0500
Practice Address - Fax:972-781-0203
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-26
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19250101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional