# LARACOUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HeartMind Psychotherapy, HeartMind
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558156851
- **Authorized official:** MR. ROBERTO LARA LCSW (DIRECTOR/ OWNER)
- **Authorized official phone:** (385) 377-9308

## Contact information

- **Practice address:** 4190 S HIGHLAND DR STE 112, MILLCREEK, UT 84124-2669
- **Practice address phone:** (385) 377-9308
- **Mailing address:** 6284 S WESTLILAC DR, WEST JORDAN, UT 84081-3857
- **Mailing address phone:** (561) 703-9628

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |

## Other

- **Enumeration date:** 04/09/2025
- **Last updated:** 07/17/2025