| Dynamic Solutions Center For Counseling, Pllc | |
|
307 E King St Ste A Kings Mountain NC 28086-3492 | |
| (704) 214-7237 | |
| (855) 306-2963 |
| Full Name | Dynamic Solutions Center For Counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 307 E King St Ste A, Kings Mountain, North Carolina |
| Authorized Official Name and Position | Ruby K Gordon (PROVIDER) |
| Authorized Official Contact | 7049232000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Solutions Center For Counseling, Pllc Po Box 2186 Kings Mountain NC 28086-6186 Ph: (704) 214-7237 | Dynamic Solutions Center For Counseling, Pllc 307 E King St Ste A Kings Mountain NC 28086-3492 Ph: (704) 214-7237 |
| NPI Number | 1245869700 |
|---|---|
| Provider Enumeration Date | 04/06/2020 |
| Last Update Date | 11/24/2023 |
| Certification Date | 11/24/2023 |
| Medicare PECOS PAC ID | 3476997156 |
|---|---|
| Medicare Enrollment ID | O20240221002270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245869700 | NPI | - | NPPES |
| 12620074 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ruby Katherine Gordon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922357391 PECOS PAC ID: 4385088061 Enrollment ID: I20240221002657 |
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