Organization
DYNAMIC LIVING COUNSELING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ADAM THIELE (CEO/OWNER)
(602) 277-2112
Entity
Organization
Contact information
Practice address
1501 E OSBORN RD, STE 103, PHOENIX, AZ 85014
(602) 277-2112
(602) 294-6636
Mailing address
1501 E OSBORN RD STE 103, PHOENIX, AZ 85014-5350
(602) 277-2112
(602) 294-6636
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CSLG8115
AZ
251S00000X
Community/Behavioral Health Agency
CSLG8116
AZ
251S00000X
Community/Behavioral Health Agency
CSLG8117
AZ
251S00000X
Community/Behavioral Health Agency
CSLG8126
AZ
251S00000X
Community/Behavioral Health Agency
CSLG8127
AZ
251S00000X
Community/Behavioral Health Agency
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Other
Enumeration date
04/17/2017
Last updated
02/03/2026
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