Lavender Chiropractic and Wellness – Chiropractor

Key facts

NPI: 1992533459
Entity type: Organization (NPI type 2)
Primary specialty: Chiropractor 111N00000X
Legal business name: LAVENDER CHIROPRACTIC AND WELLNESS
Practice address: 148 Weisenberger Rd Ste C
Gluckstadt, MS 39110-7994
Phone: (601) 790-1445
NPI assigned: Jul 24, 2024
Organization subpart: No

Authorized official

Name: Dr. Ashlyn Lavender, D.C. NPI 1225732225
Title: Owner/Doctor
Phone: (601) 790-1445

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

Practitioners 2

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

Ashlyn Lavender, DC Chiropractor · Gluckstadt, MS · NPI 1225732225

Medicare reassignment NPD Authorized official CHIROPRACTOR · MS
Taylor Evelynne Slay Chiropractor · Flowood, MS · NPI 1851101042

NPD (past) CHIROPRACTOR

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MS

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20240919000485	MS	Part B Supplier - Clinic/Group Practice	2365983285	Receives reassigned benefits from 1 practitioner Practice locations: Gluckstadt, MS

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor Group: 193400000X SINGLE SPECIALTY GROUP	111N00000X			Yes

Addresses

Primary practice location

148 Weisenberger Rd Ste C
Gluckstadt, MS 39110-7994

Mailing address

148 Weisenberger Rd Ste C
Gluckstadt, MS 39110-7994
Phone (601) 790-1445

Other providers in Gluckstadt, MS

Clarence D Hayes, PMHNP-BC
Healing Hands Rehabilitation Services, LLC
Lasheika Hogan
Bryce Hughes, PNP
Amanda Y Kim, PT
Ashlyn Lavender, DC
Clark Martin, MD
Samuel Scott McCullough III, FNP-C
Avery Nash, NP
Barbara Nelson, NURSE

All providers in Gluckstadt, MS · Chiropractor in Mississippi

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.