Provider Demographics
NPI:1891345286
Name:LARA AND ASSOCIATES PLLC COUNSELING
Entity type:Organization
Organization Name:LARA AND ASSOCIATES PLLC COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IRMA
Authorized Official - Middle Name:
Authorized Official - Last Name:LARA
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:928-782-2600
Mailing Address - Street 1:244 SOUTH FIRST AVENUE
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-2264
Mailing Address - Country:US
Mailing Address - Phone:928-782-2800
Mailing Address - Fax:928-782-9600
Practice Address - Street 1:244 SOUTH FIRST AVENUE
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-2264
Practice Address - Country:US
Practice Address - Phone:928-782-2800
Practice Address - Fax:928-782-9600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-17
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty