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Lavender Soul Care
Adolescent and Children Mental Health Clinic/Center in Long Beach, California
NPI 1871161844

Lavender Soul Care is an Adolescent and Children Mental Health Clinic/Center based in Long Beach, CA and is specialized in Adolescent and Children Mental Health. Lavender Soul Care practices in Long Beach, CA. The NPI Number for Lavender Soul Care is 1871161844 and holds a License No. (California).

The current practice location address for Lavender Soul Care is 3930 Marron Ave, Long Beach, CA and can be reached out via phone at 562-641-5638.

Location: 3930 Marron Ave, Long Beach, CA, 90807-3614
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871161844
Provider Name
Lavender Soul Care
Credential
Provider Entity Type
Organization
Address
3930 Marron Ave, Long Beach, CA, 90807-3614
Phone Number
562-641-5638
Fax Number
Provider Enumeration Date
06/15/2021
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NONE 01 NONE
institution
Provider Business Practice Location Address Details
Address
3930 Marron Ave
City
Long Beach
State
California
Zip
90807-3614
Phone Number
562-641-5638
Fax Number
person
Provider Business Mailing Address Details
Address
3930 Marron Ave
City
Long Beach
State
California
Zip
90807-3614
Phone Number
562-641-5638
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
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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