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Organization
LAVENDER MENTAL HEALTH PLLC
Active
Organization
LAVENDER MENTAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENZIE ANN FEDOTA LCPC (LCPC)
(000) 000-0000
Entity
Organization
Contact information
Practice address
3665 STONE WAY N APT 435, SEATTLE, WA 98103-5686
(443) 457-3326
Mailing address
3665 STONE WAY N APT 435, SEATTLE, WA 98103-5686
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/11/2026
Last updated
09/16/2026
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