Organization
DYNAMIC INTERVENTIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY V. SMITH LPC (CEO)
(478) 333-2498
Entity
Organization
Contact information
Practice address
524 S HOUSTON LAKE RD, SUITE G-100, WARNER ROBINS, GA 31088-9027
(478) 333-2498
(478) 333-6531
Mailing address
524 S HOUSTON LAKE RD, SUITE G-100, WARNER ROBINS, GA 31088-9027
(478) 333-2498
(478) 333-6531
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
003137
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
982993139A
—
GA
05
—
982993139B
—
GA
05
—
982993139C
—
GA
Enumeration date
02/14/2007
Last updated
12/23/2015
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