Healthcare Provider Details

I. General information

NPI: 1245491398
Provider Name (Legal Business Name): MARGARITA LORA MS, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2008
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 WIN HENTSCHEL BLVD STE 268
WEST LAFAYETTE IN
47906-4149
US

IV. Provider business mailing address

3311 BOONE ST
LAFAYETTE IN
47906-1283
US

V. Phone/Fax

Practice location:
  • Phone: 765-586-2761
  • Fax: 765-423-5600
Mailing address:
  • Phone: 765-586-2761
  • Fax: 765-423-5600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number215677
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: