Organization
LAVENDER MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SONYA BROPHY LCSW (OWNER)
(970) 426-0636
Entity
Organization
Contact information
Practice address
835 E 2ND AVE STE 271, DURANGO, CO 81301-5488
(970) 426-0636
(970) 844-1722
Mailing address
835 E 2ND AVE STE 271, DURANGO, CO 81301-5488
(970) 426-0636
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558905489
NPI FOR INDIVIDUAL
CO
Enumeration date
08/14/2024
Last updated
11/02/2024
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