DYNAMIC POTENTIAL L.C. NPI 1275702813

NPI Information

NPI: 1275702813
Provider Name: DYNAMIC POTENTIAL, L.C.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1550 MADRUGA AVE
SUITE 331
CORAL GABLES, FL
ZIP 33146
Phone: (305) 662-2173
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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
1	101YM0800X	Counselor	Mental Health	MH1964	FLORIDA	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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