| Lavender Hope, Pllc | |
|
1190 Vantage Ln Bourbonnais IL 60914-3518 | |
| (815) 348-5540 | |
| Not Available |
| Full Name | Lavender Hope, Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1190 Vantage Ln, Bourbonnais, Illinois |
| Authorized Official Name and Position | Emily Benson (OWNER) |
| Authorized Official Contact | 8102238374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lavender Hope, Pllc 1190 Vantage Ln Bourbonnais IL 60914-3518 Ph: (815) 348-5540 | Lavender Hope, Pllc 1190 Vantage Ln Bourbonnais IL 60914-3518 Ph: (815) 348-5540 |
| NPI Number | 1396573465 |
|---|---|
| Provider Enumeration Date | 07/22/2024 |
| Last Update Date | 07/22/2024 |
| Certification Date | 07/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396573465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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