Organization
LAVENDER HOPE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILY BENSON MA, LCPC (OWNER)
(810) 223-8374
Entity
Organization
Contact information
Practice address
1190 VANTAGE LN, BOURBONNAIS, IL 60914-3518
(815) 348-5540
Mailing address
1190 VANTAGE LN, BOURBONNAIS, IL 60914-3518
(815) 348-5540
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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