Provider Demographics
NPI:1235992009
Name:DANDELION COUNSELING LLC
Entity Type:Organization
Organization Name:DANDELION COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JESSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAURENZI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, MS
Authorized Official - Phone:608-218-4034
Mailing Address - Street 1:1920 MONROE ST STE 4
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53711-2470
Mailing Address - Country:US
Mailing Address - Phone:608-218-4034
Mailing Address - Fax:
Practice Address - Street 1:1920 MONROE ST STE 4
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53711-2470
Practice Address - Country:US
Practice Address - Phone:608-218-4034
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty