Healthcare Provider Details

I. General information

NPI: 1255272100
Provider Name (Legal Business Name): DRAGONFLY ALCHEMY CREATIVE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 DEMPSTER ST STE 11
EVANSTON IL
60202-1003
US

IV. Provider business mailing address

1818 DEMPSTER ST STE 11
EVANSTON IL
60202-1003
US

V. Phone/Fax

Practice location:
  • Phone: 312-544-0626
  • Fax:
Mailing address:
  • Phone: 312-544-0626
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE SNOW
Title or Position: FOUNDER/ THERAPIST
Credential: LCPC, ATR
Phone: 312-544-0626