Dynamic Integrative Solutions

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0999 Issued in NV

Legal business name

DYNAMIC INTEGRATIVE SOLUTIONS

Practice address

4955 S Durango Dr Ste 158
Las Vegas, NV 89113-0154

Phone

(702) 234-9325

NPI assigned

Apr 21, 2017

Last updated

Apr 21, 2017By 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

Donna Wilburn, LMFTNPI 1699922047

Title

Owner

Phone

(702) 234-9325

Specialties & licenses 1

Addresses

Other names 1

• Donna Wilburn Other name

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.

• Donna Wilburn, M.S., LMFT

  • Marriage & Family Therapist
  • Las Vegas, NV
  • NPI 1699922047
  Authorized official Same address or phone

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1396270872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 DUET CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190340",
            "telephone_number": "702-263-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 S DURANGO DR STE 158",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891130154",
            "telephone_number": "702-234-9325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC INTEGRATIVE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "WILBURN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-234-9325",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "0999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Donna Wilburn",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gary Richard Dymek, LCSW
• Dynamic Familiy Therapies LLC (Dynamic Family Therapies)
• Dynamic Family Therapies
• Dynamic Future LLC
• Dynamic Home Health Care LLC
• Dynamic Medical Group LLC
• Dynamic Medical Systems, Inc.
• Dynamic Minds Family Services
• Dynamic Minds Family Services LLC
• Dynamic Spine & Sport Rehabilitation LLC

• Mental Health Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.