MEDICARE: RITA CHRISTINA HERRERA LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	71984	TX

General Provider Information

NPI Number	:	1144775040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RITA CHRISTINA HERRERA LPC

Provider Business Mailing Address
First Line	:	PO BOX 81
Second Line	:
City	:	BELTON
State	:	TX
Zip	:	76513-0081
Country	:	US
Telephone Number	:	254-236-4158
Fax Number	:	254-613-5076

Provider Business Practice Location Address
First Line	:	2118 BIRDCREEK DR STE 100
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76502-1020
Country	:	US
Telephone Number	:	254-598-2266
Fax Number	:	254-613-5076

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2016
Last Update Date	:	04/23/2024

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