Lavender and Light Collective, Pllc
NPI #1538029202 in Eagle Mountain, Utah
Provider Information
- NPI Number
- 1538029202
- Entity Type
- Organization
- Organization Name
- Lavender and Light Collective, Pllc
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Nov 14, 2025
- Last Updated
- Nov 14, 2025
Practice Location
- Address
- 5094 E BIG SKY WAY
- City
- Eagle Mountain
- State
- Utah
- ZIP Code
- 84005-4878
- Phone
- (435) 610-1676
Authorized Official
- Name
- MADISEN ELISE BUSENBARK
- Title
- OWNER/ MEMBER
- Phone
- (435) 610-1676
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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