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Contact Information

DYNAMIC MENTAL HEALTH GROUP
1670 LOWERY ST
WINSTON-SALEM, NC27101-5603
 Phone: 336-970-1174
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Point of Service

305S00000X
 

Professional

101YP2500X
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for DYNAMIC MENTAL HEALTH GROUP

NPI # 1255635082
LBN Legal business name DYNAMIC MENTAL HEALTH GROUP
Authorized official CRYSTAL RAMEY - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/09/2011
Last updated 01/22/2011 - About 15 years ago
Identifiers
NC License # 5902401
NC License # 7895
NC License # PC10377
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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