MEDICARE: MRS. LARA DEE SIERS 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	LPC-23455	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952867566
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LARA DEE SIERS LPC

Provider Business Mailing Address
First Line	:	3120 W CAREFREE HWY STE 1-426
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85086-3201
Country	:	US
Telephone Number	:	623-265-8804
Fax Number	:

Provider Business Practice Location Address
First Line	:	3120 W CAREFREE HWY STE 1-426
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85086-3201
Country	:	US
Telephone Number	:	623-265-8804
Fax Number	:

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

Provider Enumeration Date	:	02/19/2019
Last Update Date	:	08/13/2025

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