| Dragon Fly Counseling, Llc | |
|
15276 W Farm Road 38 Ash Grove MO 65604-8742 | |
| (417) 773-5474 | |
| Not Available |
| Full Name | Dragon Fly Counseling, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 15276 W Farm Road 38, Ash Grove, Missouri |
| Authorized Official Name and Position | Kathryn Lynn Vanhooser (CEO) |
| Authorized Official Contact | 4177735474 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dragon Fly Counseling, Llc 15276 W Farm Road 38 Ash Grove MO 65604-8742 Ph: (417) 773-5474 | Dragon Fly Counseling, Llc 15276 W Farm Road 38 Ash Grove MO 65604-8742 Ph: (417) 773-5474 |
| NPI Number | 1346091204 |
|---|---|
| Provider Enumeration Date | 03/28/2024 |
| Last Update Date | 03/28/2024 |
| Certification Date | 03/28/2024 |
| Medicare PECOS PAC ID | 8921445107 |
|---|---|
| Medicare Enrollment ID | O20240322003829 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346091204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kathryn Lynn Vanhooser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134558422 PECOS PAC ID: 5193175867 Enrollment ID: I20231220003380 |
Ash Grove Community Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 609 E Wells St Ste D, Ash Grove, MO 65604 Phone: 417-751-9119 Fax: 417-751-9118 |