| Dragon Tree Center For Self Development Llc | |
|
1432 Kings Rd Cantonment FL 32533-8943 | |
| (850) 723-4777 | |
| Not Available |
| Full Name | Dragon Tree Center For Self Development Llc |
|---|---|
| Speciality | Counselor |
| Location | 1432 Kings Rd, Cantonment, Florida |
| Authorized Official Name and Position | Tram Vuong Meadows (OWNER) |
| Authorized Official Contact | 8507234777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dragon Tree Center For Self Development Llc 1432 Kings Rd Cantonment FL 32533-8943 Ph: (850) 723-4777 | Dragon Tree Center For Self Development Llc 1432 Kings Rd Cantonment FL 32533-8943 Ph: (850) 723-4777 |
| NPI Number | 1457176646 |
|---|---|
| Provider Enumeration Date | 11/21/2024 |
| Last Update Date | 06/25/2026 |
| Certification Date | 06/25/2026 |
| Medicare PECOS PAC ID | 3274061569 |
|---|---|
| Medicare Enrollment ID | O20250114004057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457176646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Tram Vuong Meadows |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508018227 PECOS PAC ID: 4183152473 Enrollment ID: I20250114004079 |
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