Healthcare Provider Details

I. General information

NPI: 1609785765
Provider Name (Legal Business Name): EMANUEL EMILIANO HERRERA LPC-ASSOCIATE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2504 RIDGE RD STE 207
ROCKWALL TX
75087-2571
US

IV. Provider business mailing address

190 E STACY RD STE 306-163
ALLEN TX
75002-8734
US

V. Phone/Fax

Practice location:
  • Phone: 214-357-4001
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number103772
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: