DYNAMIC THERAPY FAYETTEVILLE PLLC NPI 1144966839

NPI Information

NPI: 1144966839
Provider Name: DYNAMIC THERAPY FAYETTEVILLE PLLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
230 W CENTER ST
FAYETTEVILLE, AR
ZIP 72701
Phone: (512) 497-3296
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DYNAMIC THERAPY FAYETTEVILLE PLLC is a mental health counselor in Fayetteville, AR. DYNAMIC THERAPY FAYETTEVILLE PLLC NPI is 1144966839. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

230 W CENTER ST
FAYETTEVILLE, AR
ZIP 72701-934
Phone: (512) 497-3296

The provider's authorized official is Daniel Read .
The authorized official title is Licensed Professional Counselor and has the following contact phone number (512) 497-3296.

The enumeration date for this NPI number is 5/6/2022 and was last updated on 5/6/2022.

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
1	101YM0800X	Counselor	Mental Health			Yes

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: 11/14/2023

NPI Synchronization or Removal

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