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General NPI Number Information
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NPI Number | 1255269205
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Entity Type | Organization
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Legal Business Name | ROOTED DANDELION COUNSELING
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Dates
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Enumeration Date | 05/11/2026
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Last Update Date | 05/11/2026
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Provider Practice Location Address
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Address Line | 9922 PECAN HICKORY WAY
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City | ORLANDO
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State | FL
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Zip | 32832-3603
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Country | US
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Telephone | 689-500-1611
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Fax |
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Provider Business Mailing Address
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Address Line | 7157 NARCOOSSEE RD # 1536
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City | ORLANDO
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State | FL
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Zip | 32822-5533
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Country | US
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Telephone | 689-500-1611
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | KACIE LYNN MACDONALD
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Credential | LCSW
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Telephone | 689-500-1611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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