| Full Name | Lavni, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 804 S Garnett St, Henderson, North Carolina |
| Authorized Official Name and Position | Marcus Azeh (INCORPORATOR) |
| Authorized Official Contact | 9193583012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lavni, Inc 804 S Garnett St Henderson NC 27536-4571 Ph: (843) 460-4292 | Lavni, Inc 804 S Garnett St Henderson NC 27536-4571 Ph: (843) 460-4292 |
| NPI Number | 1215673256 |
|---|---|
| Provider Enumeration Date | 05/11/2022 |
| Last Update Date | 05/11/2022 |
| Certification Date | 05/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215673256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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