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Organization
LARACOUNSELING
Active
Organization
LARACOUNSELING
Active
Other names
HeartMind Psychotherapy, HeartMind
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERTO LARA LCSW (DIRECTOR/ OWNER)
(385) 377-9308
Entity
Organization
Contact information
Practice address
4190 S HIGHLAND DR STE 112, MILLCREEK, UT 84124-2669
(385) 377-9308
Mailing address
6284 S WESTLILAC DR, WEST JORDAN, UT 84081-3857
(561) 703-9628
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
04/09/2025
Last updated
07/17/2025
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