# BACKYARD GARDEN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225950116
- **Authorized official:** LAUREN LAQUE LCSW-C (OWNER/MENTAL HEALTH CLINICIAN)
- **Authorized official phone:** (443) 614-1204

## Contact information

- **Practice address:** 4750 21ST RD N APT 4, ARLINGTON, VA 22207-2230
- **Practice address phone:** (443) 614-1204
- **Mailing address:** 4750 21ST RD N APT 4, ARLINGTON, VA 22207-2230
- **Mailing address phone:** (443) 614-1204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 07/29/2026
- **Last updated:** 07/29/2026