NPI 1255635082

Dynamic Mental Health Group

Organisation Point of Service Winston Salem, NC

Practice location

Address: 1670 Lowery St, Winston Salem, NC 27101-5603
Phone: (336) 970-1174
Mailing address: PO Box 24872, Winston Salem, NC 27114-4872

Authorised official

Name: Crystal Ramey
Title: Vice President
Phone: (336) 970-1174

Registered specialties (3)

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence PC10377 (NC)

Other Point of Service providers in North Carolina →

Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 7895 (NC)

Other Counselor providers in North Carolina →

Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 5902401 (NC)

Other Psychiatry & Neurology providers in North Carolina →

Registry record

NPI: 1255635082
Entity type: Organization
NPI issued: 9 Jan 2011
Record last updated: 22 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.