Organization
DYNAMIC COUNSELING AND COACHING SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA SHUMATE SIMS LPC (CEO)
(602) 777-1268
Entity
Organization
Contact information
Practice address
13201 N 35TH AVE STE 5B, PHOENIX, AZ 85029-1231
(602) 777-1268
(866) 251-5468
Mailing address
24654 N LAKE PLEASANT PKWY, # 103-328, PEORIA, AZ 85383-1359
(602) 777-1268
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC-15992
AZ
101YP2500X
Professional Counselor
Primary
LPC-15992
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891248381
NPI
AZ
05
—
230114
—
AZ
Enumeration date
07/24/2017
Last updated
03/01/2019
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