MEDICARE: CLARE LAVENDER PHD, LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH4557	FL

General Provider Information

NPI Number	:	1649852054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLARE LAVENDER PHD, LMHC

Provider Business Mailing Address
First Line	:	2054 RIVERSIDE AVE APT 5403
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32204-4448
Country	:	US
Telephone Number	:	904-318-5245
Fax Number	:

Provider Business Practice Location Address
First Line	:	2054 RIVERSIDE AVE APT 5403
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32204-4448
Country	:	US
Telephone Number	:	904-318-5245
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2021
Last Update Date	:	04/25/2021

Similar Medicare Providers

1275707267 — DR. HERIBERT G CONRADI M.D.
Practice Location Address:

2054 RIVERSIDE AVE APT 5402
JACKSONVILLE, FL
32204-4448

Practice Phone: 904-389-1174
Practice Fax:

1033554522 — DR. TEVIECA ANDREWS JOHNSON PHARMD
Practice Location Address:

515 WEST 6TH STREET
JACKSONVILLE, FL
32206-4448

Practice Phone: 904-253-1530
Practice Fax:

1619958352 — RETINA ASSOCIATES PA
Practice Location Address:

751 OAK ST STE 300
JACKSONVILLE, FL
32204-3376

Practice Phone: 904-388-8446
Practice Fax: 904-384-6261

1407728082 — SHERLEY SYLVAIN DNP, FNP-BC, FNP-C
Practice Location Address:

915 W MONROE ST STE 200
JACKSONVILLE, FL
32204-1177

Practice Phone: 904-384-2240
Practice Fax:

1952653180 — CYNTHIA CARANTA APRN, ACNP-BC
Practice Location Address:

915 W MONROE ST STE 200
JACKSONVILLE, FL
32204-1177

Practice Phone: 904-384-2240
Practice Fax:

1750115887 — ALEXANDRA MARIE SPENCE APRN
Practice Location Address:

915 W MONROE ST STE 200
JACKSONVILLE, FL
32204-1177

Practice Phone: 904-384-2240
Practice Fax: 904-486-2314

Directions to “ CLARE LAVENDER PHD, LMHC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.