DYNAMIC POTENTIAL L.C. NPI 1275702813

NPI Information

  • NPI: 1275702813
  • Provider Name: DYNAMIC POTENTIAL, L.C.
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 1550 MADRUGA AVE
    SUITE 331
    CORAL GABLES, FL
    ZIP 33146
  • Phone: (305) 662-2173

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NPI Details

DYNAMIC POTENTIAL, L.C. is a mental health counselor in Coral Gables, FL. DYNAMIC POTENTIAL, L.C. NPI is 1275702813. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1550 MADRUGA AVE
SUITE 331
CORAL GABLES, FL
ZIP 33146-039
Phone: (305) 662-2173
Fax: (305) 662-2668

The provider's authorized official is Kieth Allen Mitchell .
The authorized official title is Director and has the following contact phone number (305) 662-2173.

The enumeration date for this NPI number is 2/28/2008 and was last updated on 2/28/2008.

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
1101YM0800XCounselorMental HealthMH1964FLORIDAYes

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: 3/30/2025

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