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General NPI Number Information
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NPI Number | 1053028787
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Entity Type | Organization
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Legal Business Name | DANDELION BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 11/02/2022
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 1777 TAMIAMI TRL
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City | PORT CHARLOTTE
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State | FL
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Zip | 33948-1078
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Country | US
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Telephone | 941-780-4268
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Fax |
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Provider Business Mailing Address
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Address Line | 25443 ESTRADA CIRCLE
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City | PUNTA GORDA
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State | FL
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Zip | 33955
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Country | US
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Telephone | 402-217-4555
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAMARA TRIDLE
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Credential | LCSW
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Telephone | 941-780-4268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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