| Dragonfly Counseling Services | |
|
715 Us 68 Ste C Maysville KY 41056-1237 | |
| (606) 301-1374 | |
| Not Available |
| Full Name | Dragonfly Counseling Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 715 Us 68 Ste C, Maysville, Kentucky |
| Authorized Official Name and Position | Shaina Theis (OWNER) |
| Authorized Official Contact | 6063011374 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dragonfly Counseling Services 8027 Marshall Dr Maysville KY 41056-8003 Ph: (606) 301-1374 | Dragonfly Counseling Services 715 Us 68 Ste C Maysville KY 41056-1237 Ph: (606) 301-1374 |
| NPI Number | 1225745011 |
|---|---|
| Provider Enumeration Date | 11/01/2022 |
| Last Update Date | 11/01/2022 |
| Certification Date | 11/01/2022 |
| Medicare PECOS PAC ID | 9436524584 |
|---|---|
| Medicare Enrollment ID | O20230404000804 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225745011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Shaina C Theis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649925017 PECOS PAC ID: 5193180008 Enrollment ID: I20230428000741 |
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