| Dandelion Skies LLC | |
|
1819 W Austin Nevada MO 64772-2202 | |
| (417) 448-7481 | |
| Not Available |
| Full Name | Dandelion Skies LLC |
|---|---|
| Speciality | Social Worker |
| Location | 1819 W Austin, Nevada, Missouri |
| Authorized Official Name and Position | Emmaly Launa Ellis (LCSW, THERAPIST) |
| Authorized Official Contact | 4174487481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dandelion Skies LLC Po Box 91 Nevada MO 64772-0091 Ph: (417) 448-7481 | Dandelion Skies LLC 1819 W Austin Nevada MO 64772-2202 Ph: (417) 448-7481 |
| NPI Number | 1598629651 |
|---|---|
| Provider Enumeration Date | 12/12/2025 |
| Last Update Date | 08/17/2026 |
| Certification Date | 08/17/2026 |
| Medicare PECOS PAC ID | 0345710539 |
|---|---|
| Medicare Enrollment ID | O20260528004563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598629651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| Provider Name | Emmaly Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801508155 PECOS PAC ID: 0446787600 Enrollment ID: I20241230001311 |
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