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General NPI Number Information
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NPI Number | 1285384313
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Entity Type | Organization
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Legal Business Name | LAVENDER COUNSELING & WELLNESS CENTER LLC
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Dates
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Enumeration Date | 03/23/2022
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 16100 CAIRNWAY DR STE 210
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City | HOUSTON
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State | TX
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Zip | 77084-3580
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Country | US
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Telephone | 281-220-6799
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Fax |
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Provider Business Mailing Address
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Address Line | 2918 CHAPEL ROCK CT
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City | KATY
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State | TX
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Zip | 77494-5256
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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 | CLINICAL DIRECTOR/CEO
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Name | MRS. ROBIN WILLIAMS-RIGGANS
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Credential | LPC-S
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Telephone | 281-220-6799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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