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Organization
KAYDIUM THERAPY SERVICES LLC
Active
Organization
KAYDIUM THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
K DEVONNE DANDRIDGE (OWNER)
(704) 900-1850
Entity
Organization
Contact information
Practice address
740 W 5TH ST, CHARLOTTE, NC 28202-1408
(704) 228-3747
Mailing address
3301 TENNESSEE AVE, CHARLOTTE, NC 28216-4077
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
171100000X
Acupuncturist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/30/2021
Last updated
08/12/2026
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