LAVENDER AVENUE THERAPEUTICS, PC
NPI 1891174181
Psychologist - Clinical in Durham, NC

Q: What is Lavender Avenue Therapeutics, PC's NPI number?

The NPI number for Lavender Avenue Therapeutics, PC is 1891174181. It was assigned to this organization in the NPPES registry on May 20, 2015.

Q: What is Lavender Avenue Therapeutics, PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since May 20, 2015

210 W LAVENDER AVE, DURHAM, NC 27704(919) 302-2308 Get Directions Write a Review

NPPES record last updated: May 20, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lavender Avenue Therapeutics, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAVENDER AVENUE THERAPEUTICS, PC (NPI 1891174181) is a healthcare organization registered as a clinical in Durham, North Carolina and active in the NPI registry since May 2015. The organization lists Jasmine T Irvin, President, as its authorized official.

NPPES Registry Identity

NPI1891174181

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameLAVENDER AVENUE THERAPEUTICS, PC

Location Address210 W LAVENDER AVEDurham, NC 27704-4251

Mailing Address210 W Lavender AveDurham, NC 27704-4251 · (919) 302-2308

Phone(919) 302-2308

Organization SubpartNo

Authorized OfficialJasmine T IrvinPresident · (919) 302-2308

Enumeration DateMay 20, 2015

✔ NPI 1891174181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NC · 4548

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

210 W LAVENDER AVE, Durham, NC 27704

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lavender Avenue Therapeutics, PC's NPI number?

The NPI number for Lavender Avenue Therapeutics, PC is 1891174181. It was assigned to this organization in the NPPES registry on May 20, 2015.

Where is Lavender Avenue Therapeutics, PC located?

Lavender Avenue Therapeutics, PC is located at 210 W Lavender Ave, Durham, NC 27704. The listed phone number is (919) 302-2308.

What is Lavender Avenue Therapeutics, PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Lavender Avenue Therapeutics, PC was last updated on May 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.