Healthcare Provider Details

I. General information

NPI: 1861813859
Provider Name (Legal Business Name): LAURA HARDER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2013
Last Update Date: 01/20/2026
Certification Date: 01/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

956 E FRY BLVD # 714
SIERRA VISTA AZ
85635-2640
US

IV. Provider business mailing address

956 E FRY BLVD # 714
SIERRA VISTA AZ
85635-2640
US

V. Phone/Fax

Practice location:
  • Phone: 520-329-5245
  • Fax:
Mailing address:
  • Phone: 520-329-5245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-23089
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: