Dragonfly Wellness Studio LLC

Clinical Social Worker · Gorham, ME

Organization Active NPI

NPI number 1295263762

Practice location

84 Gordon Farms Rd
Gorham, ME 04038-2389
Phone
(207) 613-6843
Fax
(207) 419-2732

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NPI record

NPI
1295263762
Entity type
Organization (Type 2)
Enumeration date
May 30, 2017
Last updated
March 21, 2023
Certified
March 21, 2023
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X LC14105 ME

Authorized official

Name
Susan Elizabeth Gaudet, LCSW
Title
Owner/Founder
Phone
(207) 613-6843

Other names

  • Dragonfly Wellness Studio

Other practice locations (1)

  • 84 Gordon Farms Rd, Gorham, ME 04038-2389 · (207) 613-6843

About Dragonfly Wellness Studio LLC

Dragonfly Wellness Studio LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 84 Gordon Farms Rd, Gorham, ME 04038-2389. The NPI number 1295263762 was assigned on May 30, 2017 and the record was last updated on March 21, 2023.

Dragonfly Wellness Studio LLC lists a license in the registry: #LC14105 (ME) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Susan Elizabeth Gaudet, LCSW, Owner/Founder.

Frequently asked questions

What is the NPI number of Dragonfly Wellness Studio LLC?

The NPI number is 1295263762.

What is the phone number of Dragonfly Wellness Studio LLC?

The phone number listed for the practice location is (207) 613-6843.

Where is Dragonfly Wellness Studio LLC located?

84 Gordon Farms Rd, Gorham, ME 04038-2389.

What is the taxonomy code for Dragonfly Wellness Studio LLC?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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