Dandelion Behavioral Health | |
1777 Tamiami Trl Port Charlotte FL 33948-1078 | |
(941) 780-4268 | |
Not Available |
Full Name | Dandelion Behavioral Health |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1777 Tamiami Trl, Port Charlotte, Florida |
Authorized Official Name and Position | Tamara Tridle (OWNER) |
Authorized Official Contact | 9417804268 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dandelion Behavioral Health 25443 Estrada Circle Punta Gorda FL 33955 Ph: (402) 217-4555 | Dandelion Behavioral Health 1777 Tamiami Trl Port Charlotte FL 33948-1078 Ph: (941) 780-4268 |
NPI Number | 1053028787 |
---|---|
Provider Enumeration Date | 11/02/2022 |
Last Update Date | 11/17/2022 |
Certification Date | 11/17/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053028787 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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