| The Dragonfly Harbor, Inc. | |
|
2307 Lily Dr Ruston LA 71270-2622 | |
| (318) 953-1950 | |
| Not Available |
| Full Name | The Dragonfly Harbor, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2307 Lily Dr, Ruston, Louisiana |
| Authorized Official Name and Position | Tiffani A Robinson (PRESIDENT) |
| Authorized Official Contact | 3189531950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dragonfly Harbor, Inc. 2307 Lily Dr Ruston LA 71270-2622 Ph: (318) 953-1950 | The Dragonfly Harbor, Inc. 2307 Lily Dr Ruston LA 71270-2622 Ph: (318) 953-1950 |
| NPI Number | 1265015119 |
|---|---|
| Provider Enumeration Date | 04/29/2021 |
| Last Update Date | 04/29/2021 |
| Certification Date | 04/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265015119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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