Lavender Foundation of Love

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

LAVENDER FOUNDATION OF LOVE

Practice address

9820 N 49TH Ave
Glendale, AZ 85302-2411

Phone

(602) 581-1588

NPI assigned

Apr 26, 2023

Organization subpart

Yes

Parent organization

LAVENDER FOUNDATION OF LOVEAs reported in NPPES

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

Authorized official

Name

Zuhal Fadl

Title

Ceo

Phone

(602) 581-1588

Specialties & licenses 6

Addresses

Part of

Lavender Foundation of Love

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1134817265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9820 N 49TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853022411",
            "telephone_number": "602-581-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9820 N 49TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853022411",
            "telephone_number": "602-581-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVENDER FOUNDATION OF LOVE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAVENDER FOUNDATION OF LOVE",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "FADL",
        "authorized_official_first_name": "ZUHAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-581-1588"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tidre Laurent
• Ryan Lausted, DO
• Shelly Lautt
• Lannery Sioeli Lauvao, MD
• Patricia Lavallee, C.A.G.S
• J. Mark Lavoy, DDS
• Caitlyn Marie Lawhorn
• Tanisha Lawrence
• Aaron Dennis Laws, D.M.D.
• Andrew Lawson, LMFT; LIAC

• All providers in Glendale, AZ
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.