MEDICARE: DANDELION COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	0701006438	VA

General Provider Information

NPI Number	:	1215398698
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANDELION COUNSELING LLC

Provider Business Mailing Address
First Line	:	433 COMMONWEALTH BLVD E STE 1
Second Line	:
City	:	MARTINSVILLE
State	:	VA
Zip	:	24112-2020
Country	:	US
Telephone Number	:	762-634-8304
Fax Number	:

Provider Business Practice Location Address
First Line	:	433 COMMONWEALTH BLVD E STE 1
Second Line	:
City	:	MARTINSVILLE
State	:	VA
Zip	:	24112-2020
Country	:	US
Telephone Number	:	276-634-8304
Fax Number	:

Authorized Official
Title or Position	:	OWNER, AUTHORIZED OFFICIAL
Name	:	STEPHANIE STULTZ SHERRILL
Credential	:
Telephone Number	:	276-634-8304

Provider Enumeration Date	:	03/14/2016
Last Update Date	:	04/07/2026

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Directions to “DANDELION COUNSELING LLC ” Practice Location

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