Organization
LAVENDER LANE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN N FELICIANO NIELES LMFT (MARRIAGE AND FAMILY THERAPIST)
(843) 801-8485
Entity
Organization
Contact information
Practice address
700 NEXTON SQUARE DR, SUMMERVILLE, SC 29486-7915
(843) 606-0297
Mailing address
422 CITADEL ST, LADSON, SC 29456-3244
(843) 801-8485
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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