Healthcare Provider Details

I. General information

NPI: 1790440402
Provider Name (Legal Business Name): THOMAS ARLIS DALTON LMHC, MT-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2021
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

337 COLUMBIA DR
LAKE WORTH FL
33460-6203
US

IV. Provider business mailing address

337 COLUMBIA DR
LAKE WORTH FL
33460-6203
US

V. Phone/Fax

Practice location:
  • Phone: 561-281-7948
  • Fax:
Mailing address:
  • Phone: 561-281-7948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8150
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: