Provider Demographics
NPI:1487010377
Name:LEMONS TO LAVENDER, LLC
Entity Type:Organization
Organization Name:LEMONS TO LAVENDER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER, FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:NICKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-805-0245
Mailing Address - Street 1:41 CROSSROADS PLAZA
Mailing Address - Street 2:STE 180
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06117
Mailing Address - Country:US
Mailing Address - Phone:860-805-0245
Mailing Address - Fax:
Practice Address - Street 1:39 DEER MEADOW DR
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002
Practice Address - Country:US
Practice Address - Phone:860-805-0245
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-07
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1121101YA0400X
101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty