Lavender Soul Care
LBN: Lavender Soul Care
Lavender Soul Care is an health care organization with primary practice located at 3930 Marron Ave , Long Beach CA 90807-3614. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Lavender Soul Care can be contacted via phone (562) 641-5638, or through Wilkerson, Ginger L via phone (562) 413-7028.
Contact Information
Primary practice address
3930 Marron Ave
Long Beach CA 90807-3614
Phone: (562) 641-5638
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1871161844 |
|---|---|
| LBN Legal business name | Lavender Soul Care |
| DBA Doing business as | |
| Authorized official | Wilkerson, Ginger L LMFT |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 15th, 2021 |
| Last updated | Jun 15th, 2021 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871161844 | NPPES |
| Other | NONE | NONE |
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