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General NPI Number Information
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NPI Number | 1447166244
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Entity Type | Organization
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Legal Business Name | DANDELION GROVE BEHAVIORAL HEALTH AND WELLNESS
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Dates
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Enumeration Date | 08/21/2026
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Last Update Date | 08/21/2026
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Provider Practice Location Address
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Address Line | 11515 S 39TH ST STE 302
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City | BELLEVUE
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State | NE
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Zip | 68123-5214
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Country | US
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Telephone | 712-355-2572
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Fax |
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Provider Business Mailing Address
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Address Line | 11515 S 39TH ST STE 302
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City | BELLEVUE
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State | NE
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Zip | 68123-5214
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Country | US
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Telephone | 712-355-2572
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MRS. ALISON LAUREN CONDON
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Credential | LIMHP, LADC
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Telephone | 712-355-2572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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