Healthcare Provider Details

I. General information

NPI: 1053250449
Provider Name (Legal Business Name): LAVENDER AND LILY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2026
Last Update Date: 03/28/2026
Certification Date: 03/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 N ST STE 102
ANCHORAGE AK
99501-3285
US

IV. Provider business mailing address

821 N ST STE 102
ANCHORAGE AK
99501-3285
US

V. Phone/Fax

Practice location:
  • Phone: 602-858-5766
  • Fax:
Mailing address:
  • Phone: 602-858-5766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MISS JANET ULUKIVAIOLA
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC
Phone: 907-242-3396