| Lavender Nest Llc | |
|
1114 Thomasville Rd Ste A Tallahassee FL 32303-6290 | |
| (850) 296-2493 | |
| Not Available |
| Full Name | Lavender Nest Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1114 Thomasville Rd Ste A, Tallahassee, Florida |
| Authorized Official Name and Position | Kortney Clinton (FOUNDER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 8502962493 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lavender Nest Llc Po Box 332 Lloyd FL 32337-0332 Ph: (850) 296-2493 | Lavender Nest Llc 1114 Thomasville Rd Ste A Tallahassee FL 32303-6290 Ph: (850) 296-2493 |
| NPI Number | 1437990942 |
|---|---|
| Provider Enumeration Date | 06/06/2024 |
| Last Update Date | 06/06/2024 |
| Certification Date | 06/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437990942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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