| Lilac Dragonfly Therapy | |
|
506 Rhonda Dr Lockport IL 60441-3346 | |
| (708) 505-6747 | |
| Not Available |
| Full Name | Lilac Dragonfly Therapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 506 Rhonda Dr, Lockport, Illinois |
| Authorized Official Name and Position | Caittlyn Herrmann (OFFICE MANAGER) |
| Authorized Official Contact | 7738000204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lilac Dragonfly Therapy 506 Rhonda Dr Lockport IL 60441-3346 Ph: () - | Lilac Dragonfly Therapy 506 Rhonda Dr Lockport IL 60441-3346 Ph: (708) 505-6747 |
| NPI Number | 1972215853 |
|---|---|
| Provider Enumeration Date | 12/22/2022 |
| Last Update Date | 01/04/2023 |
| Certification Date | 01/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972215853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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