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General NPI Number Information
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NPI Number | 1154210318
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Entity Type | Organization
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Legal Business Name | LAVENDER ROSE BEHAVIORAL HEALTH PLLC
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 430 W WARNER RD STE B105
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City | TEMPE
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State | AZ
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Zip | 85284-2967
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Country | US
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Telephone | 480-227-7525
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Fax |
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Provider Business Mailing Address
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Address Line | 1063 E DEL RIO ST
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City | GILBERT
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State | AZ
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Zip | 85295-4808
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | IRENE SHAH CURRY
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Credential | FNP-C, PMHNP-BC
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Telephone | 602-466-8181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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