Dragonfly Therapy LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

DRAGONFLY THERAPY LLC

Practice address

3463 NW 13TH St Ste C
Gainesville, FL 32609-2172

Phone

(352) 727-8102

NPI assigned

Feb 21, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nikole Duvalle, LMHC

Title

Owner, Therapist

Phone

(352) 727-8102

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nikole Fethiere, M.ED., ED.S., LMHC

  • Mental Health Counselor
  • Gainesville, FL
  • NPI 1558649772
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1740781186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 NW 51ST PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326051240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3463 NW 13TH ST STE C",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326092172",
            "telephone_number": "352-727-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAGONFLY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "DUVALLE",
        "authorized_official_first_name": "NIKOLE",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "352-727-8102",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016249000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Drabick, PHARMD
• Peter V Draganov, MD
• Olivia Anne Drago, BCBA
• Dragon Rises School of Oriental Medicine (Dragon Rises College of Oriental Medicine)
• Dragonfly Support Coordination
• Alison Schenholm Dragstedt, PA-C
• Carl A Dragstedt, DO
• Kristen Drake
• Eleanor Drakeford
• Taimyr Drakeford

• Adolescent and Children Mental Health Clinic/Center in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Adolescent and Children Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.