| Lavender Soul Care | |
|
3930 Marron Ave Long Beach CA 90807-3614 | |
| (562) 641-5638 | |
| Not Available |
| Full Name | Lavender Soul Care |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3930 Marron Ave, Long Beach, California |
| Authorized Official Name and Position | Ginger L Wilkerson (OWNER) |
| Authorized Official Contact | 5624137028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lavender Soul Care 3930 Marron Ave Long Beach CA 90807-3614 Ph: (562) 413-7028 | Lavender Soul Care 3930 Marron Ave Long Beach CA 90807-3614 Ph: (562) 641-5638 |
| NPI Number | 1871161844 |
|---|---|
| Provider Enumeration Date | 06/15/2021 |
| Last Update Date | 06/15/2021 |
| Certification Date | 06/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871161844 | NPI | - | NPPES |
| NONE | Other | NONE |
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