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Organization
KDILLY FOUNDATION, INC.
Active
Organization
KDILLY FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY L SISK LMHC (EXECUTIVE/CLINICAL DIRECTOR)
(727) 866-4682
Entity
Organization
Contact information
Practice address
2759 STATE ROAD 580 STE 111, CLEARWATER, FL 33761-3352
(727) 866-4682
(727) 380-5684
Mailing address
2759 STATE ROAD 580 STE 111, CLEARWATER, FL 33761-3352
(727) 866-4682
(727) 380-5684
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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