Provider Demographics
NPI:1659167062
Name:DANDELION WELLNESS, LLC
Entity type:Organization
Organization Name:DANDELION WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OCEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:412-238-7348
Mailing Address - Street 1:6315 FORBES AVE STE L-125A
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1745
Mailing Address - Country:US
Mailing Address - Phone:412-238-7348
Mailing Address - Fax:
Practice Address - Street 1:6315 FORBES AVE STE L-125A
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1745
Practice Address - Country:US
Practice Address - Phone:412-238-7348
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health