| Dynamic Therapy Fayetteville Pllc | |
|
230 W Center St Fayetteville AR 72701-5934 | |
| (512) 497-3296 | |
| Not Available |
| Full Name | Dynamic Therapy Fayetteville Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 230 W Center St, Fayetteville, Arkansas |
| Authorized Official Name and Position | Daniel Read (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 5124973296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Therapy Fayetteville Pllc 230 W Center St Fayetteville AR 72701-5934 Ph: (512) 497-3296 | Dynamic Therapy Fayetteville Pllc 230 W Center St Fayetteville AR 72701-5934 Ph: (512) 497-3296 |
| NPI Number | 1144966839 |
|---|---|
| Provider Enumeration Date | 05/06/2022 |
| Last Update Date | 05/09/2024 |
| Certification Date | 05/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144966839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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