DYNAMIC CHANGE


Address: 2255 Cumberland Pkwy Se Ste 240, Atlanta, GA 30339-4515
Phone: 4703476896

DYNAMIC CHANGE (NPI# 1548868730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548868730
Entity Type Organization
Organization Name DYNAMIC CHANGE
Practice Address 2255 Cumberland Pkwy Se Ste 240
Atlanta
GA 30339-4515
Mailing Address 1102 Westchase Ln Sw Apt 910
Atlanta
GA 30336-4427
Practice Telephone 4703476896
Mailing Telephone 4042747408
Enumeration Date 2020-10-11
Last Update Date 2020-10-11
Authorized Official Name CANDRA THOMAS (OWNER/ THERAPIST)
Authorized Official Telephone 4703476896
Authorized Official Credential LPC, CRC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor Behavioral Health & Social Service Providers
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names DYNAMIC CHANGE CONSTRUCTION 18414 Se 15th St, Vancouver, WA 98683
Oregon Corporations, Companies and Business Names DYNAMIC CHANGE INC A CORPORATION OF WASHINGTON 1316 Se Single Tree Dr, Vancouver, WA 98683
Oregon Corporations, Companies and Business Names DYNAMIC CHANGES LLC 1805 5th Street, Columbia City, OR 97018
New York State Corporations DYNAMIC CHANGES LLC 68 Freemont Ave., Depew, Ny 14043

Office Location

Street Address 2255 CUMBERLAND PKWY SE STE 240
City ATLANTA
State GA
Zip Code 30339-4515

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891303426 Cheryl E Williams Counselor 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 2020-07-20
1245854371 Synergia Integrated Telebehavioral Health Clinic/Center 3941 Old Atlanta Station Drive, Southeast, Atlanta, GA 30339 2020-06-04
1972123883 Elizabeth Newton, Psyd and Assoc Inc Psychologist 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 2020-04-21
1881165207 Le Reve Medical Clinic PC Family Medicine 1827 Powers Ferryy Rd Se Bldg 7, Suite 150, Atlanta, GA 30339 2018-12-11
1013499821 Deonna Pennamon Specialist/Technologist 5625 Suffex Green Lane, Atlanta, GA 30339 2018-08-29
1205326915 Matthew Buyert Counselor 1827 Powers Ferry Rd Se Ste 22, Atlanta, GA 30339 2018-05-17
1760991632 Horizons Unlimited Professional Services Inc. Community/Behavioral Health 1755 The Exchange Se Ste 190, Atlanta, GA 30339 2017-09-23
1932624418 Kheder Basheer Student in an Organized Health Care Education/Training Program 3224 Post Woods Dr., Apt E, Atlanta, GA 30339 2017-08-07
1417486820 Ashley Drake Counselor 4695 N Church Ln Se Apt 10306, Atlanta, GA 30339 2017-06-08
1992248298 New Legacy Counseling and Training Center Point of Service 3350 Riverwood Parkway, Suite 1925, Atlanta, GA 30339 2016-11-18
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801495411 Bianca Tiara Abrams Counselor 916 Glenwood Park Dr Se, Atlanta, GA 30316-6845 2020-10-23
1780283713 Stacey Dougan Counselor 696 Mountain Dr Ne, Atlanta, GA 30342-3904 2020-10-21
1851998744 Amanda Hock Counselor 3565 Piedmont Rd Ne Ste 510, Atlanta, GA 30305-8202 2020-10-05
1023625985 Nathlie Dowdell Counselor 1939 Sylvan Rd Sw, Atlanta, GA 30310-5019 2020-09-24
1598371304 Nissa Christina White Counselor 3520 Piedmont Rd Ne Ste 300, Atlanta, GA 30305-1512 2020-09-17
1194339689 Harry Scott Gordon Counselor 3342 Rose Rdg, Atlanta, GA 30340-4074 2020-09-02
1023621869 Naquia Scott Counselor 3330 Cumberland Blvd Se # 3330, Atlanta, GA 30339-5995 2020-08-30
1023621653 Lindsey Hutchins Counselor 55 Mcdonough Blvd Se, Atlanta, GA 30315-2316 2020-08-24
1285246009 Nickesha Melisa Douglas Counselor 1976 Flat Shoals Rd Se Ste A, Atlanta, GA 30316-2857 2020-08-21
1407467434 Life Changes Counseling and Consultant Services, LLC Counselor 1003 Virginia Ave Ste 104, Atlanta, GA 30354-1366 2020-08-13
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Competitor

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City ATLANTA
Zip Code 30339

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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