Organization · Type 2 NPI

Dynamic Mental Health Group

Point of Service · Winston Salem, NC

NPI number 1255635082 Active

Practice location

1670 Lowery St
Winston Salem, NC 27101-5603

Mailing address

PO Box 24872
Winston Salem, NC 27114-4872

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X7895 (NC)
Psychiatry Physician 2084P0800X5902401 (NC)
Point of Service Primary 305S00000XPC10377 (NC)

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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About NPI 1255635082

Dynamic Mental Health Group's National Provider Identifier is 1255635082, issued on Jan 9, 2011. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Winston Salem, NC. The record was last updated on Jan 22, 2011.