LAVENDER SOUL CARE NPI 1871161844

NPI Information

NPI: 1871161844
Provider Name: LAVENDER SOUL CARE
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
3930 MARRON AVE
LONG BEACH, CA
ZIP 90807
Phone: (562) 641-5638
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LAVENDER SOUL CARE is a mental health (including community mental health center) clinic center in Long Beach, CA. LAVENDER SOUL CARE NPI is 1871161844. The provider is registered as an organization entity type.

The provider's business location address is:

3930 MARRON AVE
LONG BEACH, CA
ZIP 90807-614
Phone: (562) 641-5638

The provider's authorized official is Ginger L Wilkerson .
The authorized official title is Owner and has the following contact phone number (562) 413-7028.

The enumeration date for this NPI number is 6/15/2021 and was last updated on 6/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes
2	261QM0850X	Clinic/Center	Adult Mental Health	No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NONE	OTHER		NONE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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