Provider Demographics
NPI:1720839525
Name:DRAGONFLY COUNSELING LLC
Entity Type:Organization
Organization Name:DRAGONFLY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZAHRIA
Authorized Official - Middle Name:P
Authorized Official - Last Name:RICHARD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:205-582-7799
Mailing Address - Street 1:1572 MONTGOMERY HWY STE 201
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35216-4520
Mailing Address - Country:US
Mailing Address - Phone:205-582-7799
Mailing Address - Fax:
Practice Address - Street 1:1572 MONTGOMERY HWY STE 201
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35216-4520
Practice Address - Country:US
Practice Address - Phone:205-582-7799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty