Organization Name: | DYNAMIC COUNSELING SERVICES LLC |
NPI Number: | 1659683399 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATRICIA A. TADEMY (LCSW) |
Mailing Address: | 5503 Canyon Bluff Ct Rosharon |
State: | TX US |
Postal Code: | 775832090 |
Phone Number: | 8328919355 |
Fax Number: | 2819729809 |
NPI Enumeration Date: | 07/10/2010 |
NPI Last Update Date: | 05/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 20106 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |