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Contact Information

DYNASTY WELLNESS, LLC
976 FOREST LAKE DR APT 304
VIRGINIA BEACH, VA23464-3636
 Phone: 757-630-1493
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Developmental Disabilities

261QD1600X
Indicates primary specialty

NPI Profile & details for DYNASTY WELLNESS, LLC

NPI Number 1659151660
LBN Legal business name DYNASTY WELLNESS, LLC
Authorized official JOEY MNANING - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/05/2023
Last updated 10/05/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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