Organization
BACKYARD GARDEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN LAQUE LCSW-C (OWNER/MENTAL HEALTH CLINICIAN)
(443) 614-1204
Entity
Organization
Contact information
Practice address
4750 21ST RD N APT 4, ARLINGTON, VA 22207-2230
(443) 614-1204
Mailing address
4750 21ST RD N APT 4, ARLINGTON, VA 22207-2230
(443) 614-1204
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/29/2026
Last updated
07/29/2026
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