DRAGONFLY THERAPY LLC (NPI# 1740781186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740781186 |
| Entity Type | Organization |
| Organization Name | DRAGONFLY THERAPY LLC |
| Practice Address |
3463 Nw 13th St Ste C Gainesville FL 32609-2172 |
| Mailing Address |
2518 Nw 51st Pl Gainesville FL 32605-1240 |
| Practice Telephone | 3527278102 |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |
| Authorized Official Name | NIKOLE DUVALLE (OWNER, THERAPIST) |
| Authorized Official Telephone | 3527278102 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 016249000 | 05 |
| Street Address |
3463 NW 13TH ST STE C |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32609-2172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558649772 | Nikole Fethiere | Counselor | 3463 Nw 13th St Ste C, Gainesville, FL 32609-2172 | 2011-07-22 |
| 1659760817 | Meghan Hamblet | Counselor | 3463 Nw 13th St Ste C, Gainesville, FL 32609-2172 | 2015-01-12 |
| 1356745624 | Mindy Rohrbacher Dba Radiant Life Acupuncture, LLC | Acupuncturist | 3463 Nw 13th St Ste C, Gainesville, FL 32609-2172 | 2014-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285244707 | Bright Dme LLC | Durable Medical Equipment & Medical Supplies | 4306 Nw 13th Street, Gainesville, FL 32609 | 2020-08-10 |
| 1144799537 | Kimberly Laverna Peterson | Home Health Aide | 636 Nw 26th Ave Apt 119e, Gainesville, FL 32609 | 2018-11-15 |
| 1548712318 | Rebecca Maligno | Social Worker | 825 Nw 23rd Ave Bldg 3 St A, Gainesville, FL 32609 | 2016-10-27 |
| 1023470960 | Laura J Perry | Counselor | 1707 North Main St, Family Medicine At Main, Gainesville, FL 32609 | 2016-03-21 |
| 1336543131 | Christine Brunetti | Pharmacist | 2500 N. Main St, Gainesville, FL 32609 | 2014-10-22 |
| 1114352713 | Samuel Jones IIi | Pharmacist | 2500 N. Main St., Gainesville, FL 32609 | 2013-09-13 |
| 1912348228 | Timothy Manning Rogers | Pharmacist | 2046 Ne Waldo Road, Room 2227, Gainesville, FL 32609 | 2013-07-15 |
| 1205277514 | Arthur Emrie Wharton | Pharmacist | 2046 Waldo Road, Ne, Suite 2200, Gainesville, FL 32609 | 2013-07-15 |
| 1003102864 | Rocky Mountain Holdings LLC | Ambulance | 4375 Ne 48th Ave, Gainesville, FL 32609 | 2011-06-21 |
| 1760774939 | Kyle Edwin Jersey | Registered Nurse | 1128 Ne 20th Place, Gainesville, FL 32609 | 2011-05-06 |
| Find all providers in zip 32609 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1174146708 | Nova Telemental Health | Clinic/Center | 14012 Willet Way, Gainesville, VA 20155-5915 | 2020-05-18 |
| 1215302005 | Ruth Lehmann | Clinic/Center | 711 Nw 1st St, Gainesville, FL 32601-5343 | 2015-12-06 |
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| 1154937290 | In The Name of Children, LLC | Clinic/Center | 300 S Pine Island Rd Ste 224, Plantation, FL 33324-2620 | 2020-09-22 |
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| 1225661473 | The Center for Advanced Neurosciences | Clinic/Center | 13337 Sw 44th St, Davie, FL 33330-4713 | 2020-02-17 |
| 1528628856 | Modern Reality | Clinic/Center | 200 Knuth Rd Ste 101, Boynton Beach, FL 33436-4635 | 2019-06-18 |
| 1801450515 | Inspirational Care Counseling LLC | Clinic/Center | 12630 Bramfield Dr, Riverview, FL 33579-7774 | 2019-04-29 |
| 1942769567 | Veronica Castro, Psy.d., Pa | Clinic/Center | 9380 Sunset Dr Ste B165, Miami, FL 33173-5456 | 2019-03-13 |
| 1780159061 | Solutions Center for Personal Growth | Clinic/Center | 664 Se Monterey Rd, Stuart, FL 34994-4410 | 2018-10-12 |
| 1821595281 | Inspirations Youth Academy LLC | Clinic/Center | 757 South East 17th Street, Fort Lauderdale, FL 33316-2960 | 2018-04-11 |
| 1558867341 | All Star Children's Foundation | Clinic/Center | 3308 17th St, Sarasota, FL 34235-8904 | 2018-04-02 |
| 1598268906 | Risen Consultants LLC | Clinic/Center | 1470 Nw 107th Ave Unit19r, Sweetwater, FL 33172-2735 | 2018-03-12 |
| Find all providers with the same taxonomy | ||||
| City | GAINESVILLE |
| Zip Code | 32609 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.