institution
Lavender Roots Counseling, Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Johnston, Iowa
NPI 1750150041

Lavender Roots Counseling, Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Grimes, IA and is specialized in Mental Health (Including Community Mental Health Center). Lavender Roots Counseling, Llc practices in Johnston, IA. The NPI Number for Lavender Roots Counseling, Llc is 1750150041 and holds a License No. (Iowa).

The current practice location address for Lavender Roots Counseling, Llc is 5619 Nw 86Th St, Johnston, IA and can be reached out via phone at 781-460-9477.

Location: 5619 Nw 86Th St, Johnston, IA, 50111-2117
institution
Provider Profile Details
NPI Number
1750150041
Provider Name
Lavender Roots Counseling, Llc
Credential
Provider Entity Type
Organization
Address
5619 Nw 86Th St, Johnston, IA, 50111-2117
Phone Number
781-460-9477
Fax Number
Provider Enumeration Date
12/27/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1962618355 05 IA
institution
Provider Business Practice Location Address Details
Address
5619 Nw 86Th St
City
State
Zip
50131-1819
Phone Number
781-460-9477
Fax Number
person
Provider Business Mailing Address Details
Address
5619 Nw 86Th St
City
State
Zip
50131-1819
Phone Number
781-460-9477
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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