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Contact Information

BLUE LAVENDER CLINICAL SERVICES LLC
2325 DEAN STREET
SUITE 500
SAINT CHARLES, IL60175
 Phone: 630-962-2761
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for BLUE LAVENDER CLINICAL SERVICES LLC

NPI # 1932879459
LBN Legal business name BLUE LAVENDER CLINICAL SERVICES LLC
Authorized official KAREN HAMMOND - (LCSW; OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/16/2021
Last updated 02/27/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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