ECLECTIC DRAGONFLY THERAPY SERVICES PLLC NPI 1598120123

NPI Information

  • NPI: 1598120123
  • Provider Name: ECLECTIC DRAGONFLY THERAPY SERVICES, PLLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Doing Business As: ECLECTIC DRAGONFLY THERAPY SERVICES
  • Address: 108 6TH AVE S
    PRINCETON, MN
    ZIP 55371
  • Phone: (763) 482-1185

Map and Directions

Get Directions

NPI Details

ECLECTIC DRAGONFLY THERAPY SERVICES, PLLC is a professional counselor in Princeton, MN. ECLECTIC DRAGONFLY THERAPY SERVICES, PLLC NPI is 1598120123. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Eclectic Dragonfly Therapy Services.

The provider's business location address is:

108 6TH AVE S
PRINCETON, MN
ZIP 55371-820
Phone: (763) 482-1185

The provider's authorized official is Jacqueline Kelly-faddler .
The authorized official title is Owner/psychotherapist and has the following contact phone number (763) 482-1185.

The enumeration date for this NPI number is 12/26/2015 and was last updated on 12/26/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional00842MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.