Dahlia Wellness LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

DAHLIA WELLNESS LLC

Practice address

5290 Don Manuel Rd
Elkton, FL 32033-3220

Phone

(190) 539-2918

NPI assigned

Apr 9, 2021

Last updated

Sep 6, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kassandra Shugars McCune, LMHCNPI 1043488349

Title

Ceo

Phone

(904) 392-9188

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kassandra Shugars McCune, LMHC

  • Mental Health Counselor
  • St Augustine, FL
  • NPI 1043488349
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1437739976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 DON MANUEL RD",
            "city": "ELKTON",
            "state": "FL",
            "postal_code": "320333220",
            "telephone_number": "043-929-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 DON MANUEL RD",
            "city": "ELKTON",
            "state": "FL",
            "postal_code": "320333220",
            "telephone_number": "190-539-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAHLIA WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2023-09-06",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "MCCUNE",
        "authorized_official_first_name": "KASSANDRA",
        "authorized_official_middle_name": "SHUGARS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-392-9188",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A Bischoff, LCSW
• Montana Lynn Brzinski I
• Kayla Maureen Cate, BCBA
• Melinda Voguit Clark, OTR/L
• Wendy Renee Crawford
• Gloria Dewey
• Rhonda D Dexter, RN, LM
• Brittany Drake, LCSW
• Jessica S Dugan, ITDS
• Mary Beth Dunn, PTA

• Mental Health Counselor in Elkton, FL
• Providers in Elkton, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.