Organization
DYNAMIC LIVING COUNSELING
Active
Organization
DYNAMIC LIVING COUNSELING
Active
Parent organization
DYNAMIC LIVING COUNSELING INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DYNAMIC LIVING COUNSELING INC
Authorized official
MARK A THIELE (CEO/OWNER)
(602) 277-2112
Entity
Organization
Contact information
Practice address
1340 E BROADWAY RD STE 107, TEMPE, AZ 85282-1637
(602) 277-2112
(480) 383-6972
Mailing address
1501 E OSBORN RD STE 103, PHOENIX, AZ 85014-5350
(602) 277-2112
(480) 383-6972
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/10/2024
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