Organization
LAVOI LANDING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISA LAVOI LCSW (OWNER)
(773) 315-5020
Entity
Organization
Contact information
Practice address
2484 N STOKESBERRY PL, MERIDIAN, ID 83646-6085
(775) 315-5020
Mailing address
4458 E FACETO ST, MERIDIAN, ID 83642-5720
(775) 315-5020
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972266815
NPPES
ID
Enumeration date
11/18/2024
Last updated
11/18/2024
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