Organization
DYNAMIC WELLNESS SOLUTIONS, LLC
Active
Organization
DYNAMIC WELLNESS SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE MARQUEZ LMHC, MCAP (OWNER/CHIEF EXECUTIVE OFFICER)
(954) 368-5819
Entity
Organization
Contact information
Practice address
1881 NE 26TH ST STE 201A, WILTON MANORS, FL 33305-1427
(195) 436-8581
Mailing address
1881 NE 26TH ST STE 201A, WILTON MANORS, FL 33305-1427
(195) 436-8581
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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