Organization
LAVENDER HEALING CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KASEY SCHARNETT KING LMFT (THERAPIST)
(228) 918-0984
Entity
Organization
Contact information
Practice address
6029 SHINER DR, FORT WORTH, TX 76179-7639
(228) 918-0984
Mailing address
8101 BOAT CLUB ROAD, SUITE 240 BOX 1070, FORT WORTH, TX 76179
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
12/10/2021
Last updated
01/04/2022
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