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General NPI Number Information
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NPI Number | 1770433187
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Entity Type | Organization
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Legal Business Name | GENERATIONS DANCE PSYCHOTHERAPY, PLLC
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 1131 236TH PL NE
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City | SAMMAMISH
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State | WA
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Zip | 98074-7297
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Country | US
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Telephone | 585-524-6218
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Fax |
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Provider Business Mailing Address
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Address Line | 1131 236TH PL NE
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City | SAMMAMISH
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State | WA
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Zip | 98074-7297
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CAITLYN GILMORE
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Credential | MA, LMHC
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Telephone | 564-266-8181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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