Organization · Type 2 NPI
Lavender Rose Behavioral Health PLLC
Psychiatric/Mental Health Nurse Practitioner · Tempe, AZ
NPI number
1154210318
Active
Practice location
430 W Warner Rd Ste B105
Tempe, AZ 85284-2967
Mailing address
1063 E Del Rio St
Gilbert, AZ 85295-4808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1154210318
Lavender Rose Behavioral Health PLLC's National Provider Identifier is 1154210318, issued on Jul 1, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Tempe, AZ. The record was last updated on Oct 8, 2025.