| Dynamic Solutions Center For Counseling, Pllc | |
| 307 E King St Ste A Kings Mountain NC 28086-3492 | |
| (704) 214-7237 | |
| (855) 306-2963 | 
| Full Name | Dynamic Solutions Center For Counseling, Pllc | 
|---|---|
| Speciality | Counselor | 
| Location | 307 E King St Ste A, Kings Mountain, North Carolina | 
| Authorized Official Name and Position | Ruby K Gordon (PROVIDER) | 
| Authorized Official Contact | 7049232000 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dynamic Solutions Center For Counseling, Pllc Po Box 2186 Kings Mountain NC 28086-6186 Ph: (704) 214-7237 | Dynamic Solutions Center For Counseling, Pllc 307 E King St Ste A Kings Mountain NC 28086-3492 Ph: (704) 214-7237 | 
| NPI Number | 1245869700 | 
|---|---|
| Provider Enumeration Date | 04/06/2020 | 
| Last Update Date | 11/24/2023 | 
| Certification Date | 11/24/2023 | 
| Medicare PECOS PAC ID | 3476997156 | 
|---|---|
| Medicare Enrollment ID | O20240221002270 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1245869700 | NPI | - | NPPES | 
| 12620074 | Other | CAQH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary | 
| Provider Name | Ruby Katherine Gordon | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1922357391 PECOS PAC ID: 4385088061 Enrollment ID: I20240221002657 | 
| Cleveland County Healthcare System Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 706 W King St, Kings Mountain, NC 28086 Phone: 704-739-3601 Fax: 980-487-7416 | |
| Cleveland Health Ventures Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 823 E King St, Kings Mountain, NC 28086 Phone: 704-487-7256 Fax: 704-487-7258 | |
| Essentially Living Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 S Battleground Ave, Kings Mountain, NC 28086 Phone: 704-739-3997 Fax: 704-739-6420 | |
| Premier Service Of Carolina, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 W King St, Kings Mountain, NC 28086 Phone: 704-750-4222 | |
| Diversified Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 S Battleground Ave, Kings Mountain, NC 28086 Phone: 704-739-3997 Fax: 704-739-6420 | |
| Carolinas Physicians Network Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 E King St, Kings Mountain, NC 28086 Phone: 704-510-9900 |