Organization
DYNASTY WELLNESS, LLC
Active
Organization
DYNASTY WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEY MNANING (EXECUTIVE DIRECTOR)
(757) 630-1493
Entity
Organization
Contact information
Practice address
976 FOREST LAKE DR APT 304, VIRGINIA BEACH, VA 23464-3636
(757) 630-1493
Mailing address
976 FOREST LAKE DR APT 304, VIRGINIA BEACH, VA 23464-3636
(757) 630-1493
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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