Provider Demographics
NPI:1801775689
Name:LAZARTE, DESERET LAUREE (LAMFT, LAC)
Entity type:Individual
Prefix:
First Name:DESERET
Middle Name:LAUREE
Last Name:LAZARTE
Suffix:
Gender:F
Credentials:LAMFT, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2405 SW HAMPTON AVE
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72713-3202
Mailing Address - Country:US
Mailing Address - Phone:402-981-1650
Mailing Address - Fax:
Practice Address - Street 1:1002 MCCLAIN RD STE A110
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-6737
Practice Address - Country:US
Practice Address - Phone:402-981-1650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA2410006101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty