Dragonfly Enterprises INC

NPI #1003332719 in Columbia, Missouri

Provider Information

NPI Number: 1003332719
Entity Type: Organization
Organization Name: Dragonfly Enterprises INC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 15, 2017
Last Updated: Aug 15, 2017

Practice Location

Address: 200 OLD HIGHWAY 63 S STE 101
City: Columbia
State: Missouri
ZIP Code: 65201-6081
Phone: (573) 355-1766

Authorized Official

Name: KRISTIE LOVEALL JOHNSON, LPC
Title: OWNER
Phone: (573) 355-1765

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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