Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lavender Avenue Therapeutics, PC

Organization Clinical Psychologist · NPI 1891174181

Lavender Avenue Therapeutics, PC is a Clinical Psychologist in Durham, North Carolina. Licensed in North Carolina. Registered with an NPI since 2015.

Licensed in
NC
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

210 W Lavender Ave
Durham, NC 27704-4251
Phone: (919) 302-2308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 4548 (NC)

Record details

NPI number1891174181
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jasmine Irvin — President · (919) 302-2308
NPI enumeratedMay 20, 2015
Last updated in NPPESMay 20, 2015
Mailing address210 W Lavender Ave, Durham, NC 27704-4251

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