# DYNAMIC COUNSELING SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356982516
- **Authorized official:** DELVON STALEY (COUNSELING DIRECTOR/OWNER)
- **Authorized official phone:** (316) 734-6237

## Contact information

- **Practice address:** 572 S OLIVER ST, WICHITA, KS 67218-2351
- **Practice address phone:** (316) 734-6237
- **Mailing address:** 615 S HOLYOKE ST, WICHITA, KS 67218-1904
- **Mailing address phone:** (316) 734-6237

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |

## Other

- **Enumeration date:** 09/30/2019
- **Last updated:** 09/30/2019