DYNAMIC MENTAL HEALTH GROUP NPI 1255635082

NPI Information

  • NPI: 1255635082
  • Provider Name: DYNAMIC MENTAL HEALTH GROUP
  • Classification: Point of Service - 305S00000X
  • Entity Type: Organization
  • Address: 1670 LOWERY ST
    WINSTON SALEM, NC
    ZIP 27101
  • Phone: (336) 970-1174

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NPI Details

DYNAMIC MENTAL HEALTH GROUP is a point of service in Winston Salem, NC. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. DYNAMIC MENTAL HEALTH GROUP NPI is 1255635082. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1670 LOWERY ST
WINSTON SALEM, NC
ZIP 27101-603
Phone: (336) 970-1174

The provider's authorized official is Crystal Ramey .
The authorized official title is Vice President and has the following contact phone number (336) 970-1174.

The enumeration date for this NPI number is 1/9/2011 and was last updated on 1/22/2011.

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
1101YP2500XCounselorProfessional7895NORTH CAROLINANo
22084P0800XPsychiatry & NeurologyPsychiatry5902401NORTH CAROLINANo
3305S00000XPoint of ServicePC10377NORTH CAROLINAYes

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

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