Healthcare Provider Details

I. General information

NPI: 1851295968
Provider Name (Legal Business Name): TERRA LARA COUNSELING, PLLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 MILES ST
HEREFORD TX
79045-5352
US

IV. Provider business mailing address

141 MINNIE ST
HEREFORD TX
79045-7569
US

V. Phone/Fax

Practice location:
  • Phone: 806-464-0216
  • Fax:
Mailing address:
  • Phone: 806-464-0216
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: TERRA LARA
Title or Position: THERAPIST
Credential: LPC
Phone: 806-464-0216