DYNAMIC INTERVENTIONS INC NPI 1134262033

NPI Information

NPI: 1134262033
Provider Name: DYNAMIC INTERVENTIONS INC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 11D2082276

Address:
524 S HOUSTON LAKE RD
SUITE G-100
WARNER ROBINS, GA
ZIP 31088
Phone: (478) 333-2498
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DYNAMIC INTERVENTIONS INC is a mental health counselor in Warner Robins, GA. DYNAMIC INTERVENTIONS INC NPI is 1134262033. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

524 S HOUSTON LAKE RD
SUITE G-100
WARNER ROBINS, GA
ZIP 31088-027
Phone: (478) 333-2498
Fax: (478) 333-6531

The provider's authorized official is Tammy V. Smith .
The authorized official title is Ceo and has the following contact phone number (478) 333-2498.

The CLIA number assigned to this NPI record is 11D2082276 - other - drug abuse treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2007 and was last updated on 12/23/2015.

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
1	101YM0800X	Counselor	Mental Health	003137	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	982993139A	MEDICAID	GEORGIA
2	982993139C	MEDICAID	GEORGIA
3	982993139B	MEDICAID	GEORGIA

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: 5/5/2024

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