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NPI 1841106432

NPI 1841106432 : DANDELION MENTAL HEALTH SERVICES, LLC : LABELLE, FL

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General NPI Number Information
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    NPI Number           |    1841106432
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    Entity Type          |    Organization 
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    Legal Business Name  |    DANDELION MENTAL HEALTH SERVICES, LLC 
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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         |    257 E YEOMANS AVE 
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    City                 |    LABELLE
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    State                |    FL
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    Zip                  |    33935-5006
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    Country              |    US
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    Telephone            |    863-517-7122
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    480 GRANT ST 
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    City                 |    LABELLE
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    State                |    FL
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    Zip                  |    33935-4811
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    Country              |    US
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    Telephone            |    239-281-3663
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. CECELIA V ESTRADA 
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    Credential           |    LCSW
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    Telephone            |    239-281-3663
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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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