Individual
ANTOINETTE NEKOLE LAVENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 VENTURE CIR, NASHVILLE, TN 37228-1604
(615) 460-4100
(615) 463-6605
Mailing address
123 DONALD ST, NASHVILLE, TN 37207-4529
(615) 810-1166
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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