Organization
LAVENDER FOUNDATION OF LOVE
Active
Parent organization
LAVENDER FOUNDATION OF LOVE
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAVENDER FOUNDATION OF LOVE
Authorized official
ZUHAL FADL (CEO)
(602) 581-1588
Entity
Organization
Contact information
Practice address
9820 N 49TH AVE, GLENDALE, AZ 85302-2411
(602) 581-1588
Mailing address
9820 N 49TH AVE, GLENDALE, AZ 85302-2411
(602) 581-1588
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
273Y00000X
Rehabilitation Hospital Unit
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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