Organization · Type 2 NPI

Lavender Foundation of Love

Addiction (Substance Use Disorder) Counselor · Glendale, AZ

NPI number 1134817265 Active

Practice location

9820 N 49th Ave
Glendale, AZ 85302-2411

Call (602) 581-1588 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Addiction (Substance Use Disorder) Psychologist 103TA0400XNone listed
Counseling Psychologist 103TC1900XNone listed
Rehabilitation Hospital Unit 273Y00000XNone listed
Substance Use Disorder Rehabilitation Hospital Unit 276400000XNone listed

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About NPI 1134817265

Lavender Foundation of Love's National Provider Identifier is 1134817265, issued on Apr 26, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Glendale, AZ. The record was last updated on Apr 26, 2023.