| 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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