| Dragonfly Psychotherapy Llc | |
|
916 Nw 139th Street Pkwy Edmond OK 73013-9525 | |
| (405) 219-2529 | |
| (855) 704-1609 |
| Full Name | Dragonfly Psychotherapy Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 916 Nw 139th Street Pkwy, Edmond, Oklahoma |
| Authorized Official Name and Position | Joseph Cody Cox (PSYCHOTHERAPIST) |
| Authorized Official Contact | 4052192529 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dragonfly Psychotherapy Llc 2942 Ne Orlie Dr Forest Park OK 73121-2436 Ph: (405) 219-2529 | Dragonfly Psychotherapy Llc 916 Nw 139th Street Pkwy Edmond OK 73013-9525 Ph: (405) 219-2529 |
| NPI Number | 1245855857 |
|---|---|
| Provider Enumeration Date | 06/09/2020 |
| Last Update Date | 11/17/2020 |
| Certification Date | 11/17/2020 |
| Medicare PECOS PAC ID | 5496162877 |
|---|---|
| Medicare Enrollment ID | O20210331001938 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245855857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Joseph Cox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265762884 PECOS PAC ID: 7012087380 Enrollment ID: I20150331000990 |
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