| Dragonfly Counseling Pllc | |
|
925 N Main St Ste B Meridian ID 83642-2301 | |
| (208) 207-8800 | |
| Not Available |
| Full Name | Dragonfly Counseling Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 925 N Main St Ste B, Meridian, Idaho |
| Authorized Official Name and Position | Trina Fry (OWNER) |
| Authorized Official Contact | 2082078800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dragonfly Counseling Pllc 925 N Main St Ste B Meridian ID 83642-2301 Ph: (208) 207-8800 | Dragonfly Counseling Pllc 925 N Main St Ste B Meridian ID 83642-2301 Ph: (208) 207-8800 |
| NPI Number | 1710756515 |
|---|---|
| Provider Enumeration Date | 12/21/2023 |
| Last Update Date | 12/21/2023 |
| Certification Date | 12/21/2023 |
| Medicare PECOS PAC ID | 3971946070 |
|---|---|
| Medicare Enrollment ID | O20240206001408 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710756515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Trina Marie Fry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457728099 PECOS PAC ID: 5799128898 Enrollment ID: I20240206001465 |
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