Lavender Mountain Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LAVENDER MOUNTAIN COUNSELING

Practice address

111 Bridgepoint PLZ Ste 120
Rome, GA 30161-3056

Phone

(706) 450-4029

Fax

(706) 810-4029

NPI assigned

Oct 31, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kayla Clark, LPCNPI 1730605320

Title

Owner

Phone

(706) 450-4029

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kayla Clark, LPC

  • Mental Health Counselor
  • Rome, GA
  • NPI 1730605320
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1073386280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BRIDGEPOINT PLZ STE 120",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613056",
            "telephone_number": "706-450-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BRIDGEPOINT PLZ STE 120",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613056",
            "telephone_number": "706-450-4029",
            "fax_number": "706-810-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVENDER MOUNTAIN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-450-4029",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Elizabeth Lanier, PHARMD, BCPS, BCACP
• Stephan J Lapointe, DPM/PHD
• Heather Danielle Laseter, PA-C
• Louis Lataif Jr., M.D.
• Lauren Sorrow LLC
• Lavender Mountain Senior Living, Inc.
• Larry Alan Lavender, CRNA
• Sabrina Faith Lawley, AUD
• Lawrence M Arkin MD
• Douglas Ross Lawrence, MD

• Mental Health Counselor in Rome, GA
• Providers in Rome, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.