| Evergreen & Lavender Practice, Pllc | |
|
3064 S Andes St Aurora CO 80013-5720 | |
| (970) 460-6408 | |
| Not Available |
| Full Name | Evergreen & Lavender Practice, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3064 S Andes St, Aurora, Colorado |
| Authorized Official Name and Position | Hanna Carrell (OWNER/THERAPIST) |
| Authorized Official Contact | 5098437041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen & Lavender Practice, Pllc 18121 E Hampden Ave Unit C #785 Aurora CO 80013 Ph: (970) 460-6408 | Evergreen & Lavender Practice, Pllc 3064 S Andes St Aurora CO 80013-5720 Ph: (970) 460-6408 |
| NPI Number | 1891680823 |
|---|---|
| Provider Enumeration Date | 06/10/2025 |
| Last Update Date | 06/10/2025 |
| Certification Date | 06/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891680823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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