Organization
DYNAMIC BEHAVIORAL HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DICKSON D OYEYEMI-KUTEYI (OWNER)
(817) 235-8869
Entity
Organization
Contact information
Practice address
2743 KENEDY LN, GRAND PRAIRIE, TX 75052-0735
(817) 235-8869
Mailing address
2743 KENEDY LN, GRAND PRAIRIE, TX 75052-0735
(817) 235-8869
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
464166401
—
TX
05
—
467418601
—
TX
Enumeration date
02/06/2023
Last updated
09/15/2023
Update your record
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