Lavely, Diane
Lavely, Diane is an individual health care provider with primary practice located at 2225 E Tahquitz Canyon Way Suite 5, Palm Springs CA 92262. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Lavely, Diane can be contacted via phone (760) 416-7846.Contact Information
Primary practice address
2225 E Tahquitz Canyon Way Suite 5
Palm Springs CA 92262
Phone: (760) 416-7846
Fax: (760) 416-2061
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | MSWACB5417 | |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS15773 | California |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW1220 | Oregon |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | BCD27321 |
Profile Details
NPI number | 1619079746 |
---|---|
LBN Legal business name | Lavely, Diane |
Credentials | LCSW BCD MSWAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 1st, 2006 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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