MEDICARE: MR. THOMAS ARLIS DALTON LMHC, MT-BC

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	101YM0800X	Mental Health Counselor	8150	FL
2	225A00000X	Music Therapist

General Provider Information

NPI Number	:	1790440402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. THOMAS ARLIS DALTON LMHC, MT-BC

Provider Business Mailing Address
First Line	:	337 COLUMBIA DR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-6203
Country	:	US
Telephone Number	:	561-281-7948
Fax Number	:

Provider Business Practice Location Address
First Line	:	337 COLUMBIA DR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-6203
Country	:	US
Telephone Number	:	561-281-7948
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2021
Last Update Date	:	10/30/2025

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