| Lavender Consulting And Counseling Services, Llc | |
|
2055 Limestone Rd Ste 200b Wilmington DE 19808-5536 | |
| (302) 562-7267 | |
| (302) 416-5095 |
| Full Name | Lavender Consulting And Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2055 Limestone Rd Ste 200b, Wilmington, Delaware |
| Authorized Official Name and Position | Desiree Lowery (OWNER) |
| Authorized Official Contact | 3025627267 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lavender Consulting And Counseling Services, Llc 1148 Pulaski Hwy Ste 327 Bear DE 19701-1306 Ph: (302) 562-7267 | Lavender Consulting And Counseling Services, Llc 2055 Limestone Rd Ste 200b Wilmington DE 19808-5536 Ph: (302) 562-7267 |
| NPI Number | 1881115236 |
|---|---|
| Provider Enumeration Date | 07/06/2017 |
| Last Update Date | 07/06/2017 |
| Medicare PECOS PAC ID | 9234463571 |
|---|---|
| Medicare Enrollment ID | O20190620001956 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881115236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | Q1-0001048 (Delaware) | Primary |
| Provider Name | Desiree L Lowery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962705319 PECOS PAC ID: 3870819402 Enrollment ID: I20150226000379 |
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