| The Wings Of Dragonfly Llc. | |
|
4390 Earney Rd Ste 110 Woodstock GA 30188-5687 | |
| (678) 372-3099 | |
| Not Available |
| Full Name | The Wings Of Dragonfly Llc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4390 Earney Rd Ste 110, Woodstock, Georgia |
| Authorized Official Name and Position | Victoria Teska (FOUNDER/ ADDICTION COUNSELOR) |
| Authorized Official Contact | 6783723099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wings Of Dragonfly Llc. 5555 Vaughn Rd Woodstock GA 30188-2007 Ph: (678) 372-3099 | The Wings Of Dragonfly Llc. 4390 Earney Rd Ste 110 Woodstock GA 30188-5687 Ph: (678) 372-3099 |
| NPI Number | 1700675071 |
|---|---|
| Provider Enumeration Date | 05/03/2025 |
| Last Update Date | 05/03/2025 |
| Certification Date | 05/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700675071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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