Lilac Dragonfly Therapy

NPI #1972215853 in Lockport, Illinois

Provider Information

NPI Number: 1972215853
Entity Type: Organization
Organization Name: Lilac Dragonfly Therapy
Primary Specialty: Counselor - Mental Health
Enumeration Date: Dec 22, 2022
Last Updated: Jan 4, 2023

Practice Location

Address: 506 RHONDA DR
City: Lockport
State: Illinois
ZIP Code: 60441-3346
Phone: (708) 505-6747

Authorized Official

Name: CAITTLYN HERRMANN
Title: OFFICE MANAGER
Phone: (773) 800-0204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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