Organization
LOVE LAWCD LLC
Active
Other names
Lavender Arts and Wellness Consultation
Organization subpart
No
Provider details
NPI number
Authorized official
DETRECE LAVENDER (OWNER)
(240) 565-0569
Entity
Organization
Contact information
Practice address
4359 NORTHVIEW DR, BOWIE, MD 20716-2603
(240) 565-0569
Mailing address
4904 YORK RD UNIT 4506, BALTIMORE, MD 21212-7501
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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