Healthcare Provider Details

I. General information

NPI: 1336860030
Provider Name (Legal Business Name): DRAGONFLY COUNSELING & MEDIATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2022
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3626 EVERGLADES RD
PALM BEACH GARDENS FL
33410-2315
US

IV. Provider business mailing address

6231 PGA BLVD STE 104
PALM BEACH GARDENS FL
33418-4033
US

V. Phone/Fax

Practice location:
  • Phone: 317-550-1806
  • Fax: 317-550-1834
Mailing address:
  • Phone: 317-550-1806
  • Fax: 317-550-1834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JODY L BELL
Title or Position: MANAGER
Credential: LMHC, LCAC
Phone: 317-345-6941