| Dynamic Wellness Center, Llc | |
|
4200 Edmondson Ave Ste 202 Baltimore MD 21229-1614 | |
| (443) 499-3529 | |
| Not Available |
| Full Name | Dynamic Wellness Center, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4200 Edmondson Ave Ste 202, Baltimore, Maryland |
| Authorized Official Name and Position | Joi Dyson (OWNER) |
| Authorized Official Contact | 4434168029 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Wellness Center, Llc 3413 Copley Rd Baltimore MD 21215-7189 Ph: (443) 416-8029 | Dynamic Wellness Center, Llc 4200 Edmondson Ave Ste 202 Baltimore MD 21229-1614 Ph: (443) 499-3529 |
| NPI Number | 1053881086 |
|---|---|
| Provider Enumeration Date | 12/03/2018 |
| Last Update Date | 12/03/2018 |
| Medicare PECOS PAC ID | 7618208158 |
|---|---|
| Medicare Enrollment ID | O20191014002475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053881086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Joi Dyson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891023669 PECOS PAC ID: 6103969910 Enrollment ID: I20100202000514 |
| Provider Name | Ameena S Jain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093064073 PECOS PAC ID: 9537318787 Enrollment ID: I20170426002742 |
| Provider Name | Kehinde Oyekan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497390413 PECOS PAC ID: 1355753211 Enrollment ID: I20201217000710 |
Trinity Healthcare Services Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4701 Belair Rd, Baltimore, MD 21206 Phone: 410-325-1850 | |
Michael B. Freedman Phd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6006 Park Heights Ave, Baltimore, MD 21215 Phone: 410-790-8433 Fax: 443-501-3379 | |
Home Free Iop Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W Madison St Ste 11, Baltimore, MD 21201 Phone: 443-438-5239 | |
All Walks Of Life, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 E 25th St, Baltimore, MD 21218 Phone: 410-558-0019 | |
Eva Life Giver Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4804 York Rd Ste 2, Baltimore, MD 21212 Phone: 443-873-8958 Fax: 443-873-8959 | |
Darryl M Coleman Md Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 N Monroe St, Baltimore, MD 21223 Phone: 443-708-4391 Fax: 443-708-4436 | |
Johnny Cares, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3028 Greenmount Ave, Baltimore, MD 21218 Phone: 410-467-6040 Fax: 410-467-5944 |