Provider Demographics
NPI:1063205581
Name:DRAGONFLY COUNSELING & CONSULTING, LLC
Entity type:Organization
Organization Name:DRAGONFLY COUNSELING & CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BRUNSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:850-468-2493
Mailing Address - Street 1:1 11TH AVE STE A2
Mailing Address - Street 2:
Mailing Address - City:SHALIMAR
Mailing Address - State:FL
Mailing Address - Zip Code:32579-1318
Mailing Address - Country:US
Mailing Address - Phone:850-468-2493
Mailing Address - Fax:850-979-8775
Practice Address - Street 1:1 11TH AVE STE A2
Practice Address - Street 2:
Practice Address - City:SHALIMAR
Practice Address - State:FL
Practice Address - Zip Code:32579-1318
Practice Address - Country:US
Practice Address - Phone:850-468-2493
Practice Address - Fax:850-979-8775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty