Healthcare Provider Details

I. General information

NPI: 1841573409
Provider Name (Legal Business Name): XIOMARA LARA LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2011
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11055 SW 186TH ST STE 101
CUTLER BAY FL
33157-6842
US

IV. Provider business mailing address

6386 SW 24TH ST
MIAMI FL
33155-1929
US

V. Phone/Fax

Practice location:
  • Phone: 305-342-4893
  • Fax:
Mailing address:
  • Phone: 305-303-0581
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH 10768
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: