Dynamic Potential, L.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH1964 Issued in FL

Legal business name

DYNAMIC POTENTIAL, L.C.

Practice address

1550 Madruga Ave
Suite 331
Coral Gables, FL 33146-3039

Phone

(305) 662-2173

Fax

(305) 662-2668

NPI assigned

Feb 28, 2008

Last updated

Feb 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kieth Allen Mitchell, D. MIN.NPI 1649260902

Title

Director

Phone

(305) 662-2173

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Kieth Allen Mitchell, LMHC

  • Mental Health Counselor
  • Coral Gables, FL
  • NPI 1649260902
  NPD (past) Authorized official
• Linda Diane Mitchell, LCSW

  • Clinical Social Worker
  • Coral Gables, FL
  • NPI 1326118852
  NPD (past)

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1275702813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 MADRUGA AVENUE",
            "address_2": "SUITE 331",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331463071",
            "telephone_number": "305-662-2173",
            "fax_number": "305-662-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 MADRUGA AVE",
            "address_2": "SUITE 331",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331463039",
            "telephone_number": "305-662-2173",
            "fax_number": "305-662-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC POTENTIAL, L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "KIETH",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-662-2173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. MIN."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH1964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul David Durand, M.D.
• Antonio Durant II
• Kayla Dustman, BCBA
• Jayna Dutherville
• Veronica Dwyer, LCSW
• Dynamic Touch Mobile Phlebotomy & Staffing
• Herveline Dyson
• E R Stat Inc
• Ean Rehabilitaton Center Inc
• East Coast Anesthesia LLC

• Mental Health Counselor in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.