MEDICARE: DANDELION COVE

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	106H00000X	Marriage & Family Therapist	1251	NC

General Provider Information

NPI Number	:	1841442753
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANDELION COVE

Provider Business Mailing Address
First Line	:	3331 MISTY PINES RD
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27858-9014
Country	:	US
Telephone Number	:	252-320-8312
Fax Number	:

Provider Business Practice Location Address
First Line	:	1290 E ARLINGTON BLVD
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27858-7854
Country	:	US
Telephone Number	:	252-320-8312
Fax Number	:

Authorized Official
Title or Position	:	MARRIAGE AND FAMILY THERAPIST
Name	:	MRS. N. KIM COVE
Credential	:	LMFT
Telephone Number	:	252-320-8312

Provider Enumeration Date	:	10/22/2008
Last Update Date	:	01/03/2024

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Directions to “DANDELION COVE ” Practice Location

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