Provider Demographics
NPI:1841800158
Name:DARE TO BE HERD, LLC
Entity Type:Organization
Organization Name:DARE TO BE HERD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:LORAE
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:831-601-3061
Mailing Address - Street 1:101 WHITNEY WAY
Mailing Address - Street 2:
Mailing Address - City:CIBOLO
Mailing Address - State:TX
Mailing Address - Zip Code:78108-4256
Mailing Address - Country:US
Mailing Address - Phone:831-601-3061
Mailing Address - Fax:
Practice Address - Street 1:101 WHITNEY WAY
Practice Address - Street 2:
Practice Address - City:CIBOLO
Practice Address - State:TX
Practice Address - Zip Code:78108-4256
Practice Address - Country:US
Practice Address - Phone:831-601-3061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-03
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health