Organization
LAVNI, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS AZEH (INCORPORATOR)
(843) 460-4292
Entity
Organization
Contact information
Practice address
804 S GARNETT ST, HENDERSON, NC 27536-4571
(980) 890-7522
(980) 890-7814
Mailing address
804 S GARNETT ST, HENDERSON, NC 27536-4571
(980) 890-7522
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30018458450001
—
VA
Enumeration date
05/11/2022
Last updated
04/02/2026
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