Organization
LAVENDER ROAD THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA A KENEDY LIMHP, LCSW, LADC (THERAPIST/OWNER)
(402) 320-2336
Entity
Organization
Contact information
Practice address
4611 S 96TH ST STE 174, OMAHA, NE 68127-1242
(402) 320-2336
Mailing address
4611 S 96TH ST STE 174, OMAHA, NE 68127-1242
(402) 320-2336
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2026
Last updated
05/23/2026
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