Organization · Type 2 NPI
Wild Dandelion Wellness LCSW PC
Mental Health Clinic/Center (Including Community Mental Health Center) · Pleasant Valley, NY
NPI number
1114824042
Active
Practice location
51124 Annie Ave
Pleasant Valley, NY 12569-7972
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
About NPI 1114824042
Wild Dandelion Wellness LCSW PC's National Provider Identifier is 1114824042, issued on Oct 23, 2026. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Pleasant Valley, NY. The record was last updated on Oct 23, 2026.