| Lara Hernandez Therapy, Pllc | |
|
3810 Medical Pkwy Ste 255 Austin TX 78756-4014 | |
| (512) 992-6083 | |
| Not Available |
| Full Name | Lara Hernandez Therapy, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3810 Medical Pkwy Ste 255, Austin, Texas |
| Authorized Official Name and Position | Lara A Hernandez (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 5129926083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lara Hernandez Therapy, Pllc 3810 Medical Pkwy Ste 255 Austin TX 78756-4014 Ph: (512) 992-6083 | Lara Hernandez Therapy, Pllc 3810 Medical Pkwy Ste 255 Austin TX 78756-4014 Ph: (512) 992-6083 |
| NPI Number | 1013474378 |
|---|---|
| Provider Enumeration Date | 02/22/2019 |
| Last Update Date | 08/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013474378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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