Healthcare Provider Details

I. General information

NPI: 1265372155
Provider Name (Legal Business Name): DANDELION CLOCK TRANSITIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 MAIN ST STE 201
DANVILLE VA
24541-1318
US

IV. Provider business mailing address

124 CARTER DR
DANVILLE VA
24540-7410
US

V. Phone/Fax

Practice location:
  • Phone: 434-709-8356
  • Fax:
Mailing address:
  • Phone: 434-709-8356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: SARAH THOMPSON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 434-709-8356