Organization Active NPI

Lavender Florance Licensed Marriage and Family Therapist Professional

  • Marriage & Family Therapist
  • Tustin, CA
National Provider Identifier
1467270561
Registry record updated Sep 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
LAVENDER FLORANCE LICENSED MARRIAGE AND FAMILY THERAPIST PROFESSIONAL
Practice address
242 W Main St Ste 104
Tustin, CA 92780-7715
Phone
(949) 441-0011
NPI assigned
Sep 28, 2024
Last updated
Sep 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2024

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

Authorized official

Name
Lavender Florance, LMFTNPI 1871455501
Title
Ceo
Phone
(949) 441-0011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

242 W Main St Ste 104
Tustin, CA 92780-7715

Mailing address

242 W Main St Ste 104
Tustin, CA 92780-7715
Phone (949) 441-0011

National Provider Directory

National Provider Directory

Locations

242 W Main St
Ste 104
Tustin, CA 92780
Phone (714) 681-0052

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1727481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727481600000",
    "number": "1467270561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 W MAIN ST STE 104",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807715",
            "telephone_number": "949-441-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 W MAIN ST STE 104",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807715",
            "telephone_number": "949-441-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVENDER FLORANCE LICENSED MARRIAGE AND FAMILY THERAPIST PROFESSIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-28",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-28",
        "status": "A",
        "authorized_official_last_name": "FLORANCE",
        "authorized_official_first_name": "LAVENDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-441-0011",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.