Provider Demographics
NPI:1831599984
Name:DOERRER, LARA BAHAR (LCMHC)
Entity type:Individual
Prefix:MRS
First Name:LARA
Middle Name:BAHAR
Last Name:DOERRER
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:MRS
Other - First Name:LARA
Other - Middle Name:BAHAR
Other - Last Name:STEVENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10 LANCE LANE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-2426
Mailing Address - Country:US
Mailing Address - Phone:828-989-3182
Mailing Address - Fax:828-484-2219
Practice Address - Street 1:10 LANCE LANE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-2426
Practice Address - Country:US
Practice Address - Phone:828-989-3182
Practice Address - Fax:828-484-2219
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-26
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA11037101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health