Organization Active NPI

Elite Consultant Services

Doing business as Dynamic Solutions

  • Community/Behavioral Health Agency
  • Rock Hill, SC
National Provider Identifier
1255961504
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ELITE CONSULTANT SERVICES
Doing business as
Dynamic Solutions
Practice address
454 Anderson Rd S Ste 162
Rock Hill, SC 29730-3398
Phone
(704) 977-3847
Fax
(888) 564-4107
NPI assigned
Jan 24, 2020
Last updated
Jan 24, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
ELITE CONSULTANT SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lori LongNPI 1205264827
Title
Clinical Manager
Phone
(704) 977-3847

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

454 Anderson Rd S Ste 162
Rock Hill, SC 29730-3398

Mailing address

1200 Ashford St
Charlotte, NC 28214-2347
Phone (704) 977-3847

Other names 1

  • Dynamic Solutions Doing business as

National Provider Directory

National Provider Directory
Part of
Elite Consultant Services

Locations

454 Anderson Rd S
Ste 162
Rock Hill, SC 29730
Phone (704) 236-4067

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1255961504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ASHFORD ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282142347",
            "telephone_number": "704-977-3847",
            "fax_number": "888-564-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 ANDERSON RD S STE 162",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297303398",
            "telephone_number": "704-977-3847",
            "fax_number": "888-564-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CONSULTANT SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELITE CONSULTANT SERVICES",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "704-977-3847"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.