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 provides Clinical Psychologist services 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 Not confirmed with CMS for 11 years — call before visiting
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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