NPIMap

Organization Active NPI

Lavni, Inc

  • Community/Behavioral Health Agency
  • Henderson, NC
National Provider Identifier
1215673256
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LAVNI, INC
Practice address
804 S Garnett St
Henderson, NC 27536-4571
Phone
(980) 890-7522
Fax
(980) 890-7814
NPI assigned
May 11, 2022
Last updated
Oct 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Authorized official

Name
Marcus Azeh
Title
Incorporator
Phone
(843) 460-4292

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

804 S Garnett St
Henderson, NC 27536-4571

Mailing address

804 S Garnett St
Henderson, NC 27536-4571
Phone (980) 890-7522

Other practice location 1

8735 Dunwoody Pl Ste N
Atlanta, GA 30350-2995
Phone (980) 890-7522

Other practice location 2

29 Broken Arrow Ct
Blythewood, SC 29016-8126
Phone (980) 890-7522

Other practice location 3

8401 Mayland Dr Ste A
Richmond, VA 23294-4648
Phone (980) 890-7995

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL OFFICEALLY Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA, SC, VA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20250904001318 NC Part B Supplier - Clinic/Group Practice 9830691484 Receives reassigned benefits from 21 practitioners
Practice locations: Henderson, NC
O20251223004474 GA Part B Supplier - Clinic/Group Practice 9830691484 Receives reassigned benefits from 5 practitioners
Practice locations: Atlanta, GA
O20260217002676 SC Part B Supplier - Clinic/Group Practice 9830691484 Receives reassigned benefits from 1 practitioner
Practice locations: Blythewood, SC
O20260313001703 VA Part B Supplier - Clinic/Group Practice 9830691484 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, VA

National Provider Directory

National Provider Directory

Locations

804 S Garnett St
Henderson, NC 27536
Phone (980) 267-3826

2500 Blue Ridge Rd
Ste 421
Raleigh, NC 27607
Phone (919) 787-1772

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1215673256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 S GARNETT ST",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364571",
            "telephone_number": "980-890-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 S GARNETT ST",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364571",
            "telephone_number": "980-890-7522",
            "fax_number": "980-890-7814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8735 Dunwoody Pl Ste N",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303502995",
            "country_code": "US",
            "telephone_number": "980-890-7522",
            "fax_number": "980-890-7814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29 Broken Arrow Ct",
            "address_purpose": "LOCATION",
            "city": "Blythewood",
            "state": "SC",
            "postal_code": "290168126",
            "country_code": "US",
            "telephone_number": "980-890-7522",
            "fax_number": "980-890-7814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8401 Mayland Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232944648",
            "country_code": "US",
            "telephone_number": "980-890-7995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAVNI, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A",
        "authorized_official_last_name": "AZEH",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "INCORPORATOR",
        "authorized_official_telephone_number": "843-460-4292"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "OFFICEALLY",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2500 Blue Ridge Rd Ste 421",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276077516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.