Provider Demographics
NPI:1124748124
Name:DRAGONFLY SPRINGS COUNSELING AND WELLNESS, LLC
Entity type:Organization
Organization Name:DRAGONFLY SPRINGS COUNSELING AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARNIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:STANTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:412-440-8797
Mailing Address - Street 1:PO BOX 101854
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-9998
Mailing Address - Country:US
Mailing Address - Phone:412-440-8797
Mailing Address - Fax:
Practice Address - Street 1:416 FOX DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-3606
Practice Address - Country:US
Practice Address - Phone:412-440-8797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty