Dynasty Wellness, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DYNASTY WELLNESS, LLC

Practice address

976 Forest Lake Dr Apt 304
Virginia Beach, VA 23464-3636

Phone

(757) 630-1493

NPI assigned

Oct 5, 2023

Organization subpart

No

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

Authorized official

Name

Joey Mnaning

Title

Executive Director

Phone

(757) 630-1493

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joey Manning

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Virginia Beach, VA
  • NPI 1427813526
  NPD

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1659151660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "976 FOREST LAKE DR APT 304",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643636",
            "telephone_number": "757-630-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "976 FOREST LAKE DR APT 304",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643636",
            "telephone_number": "757-630-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNASTY WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "MNANING",
        "authorized_official_first_name": "JOEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "757-630-1493"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth B Dye, OTR
• Susan Owen Dye, ED.D.
• Erin Nicole Dyer, PA-C
• Dyer's Dental Group PC
• Dynamic Health Services
• Dyvine Elevation, LLC
• E & T Transport Group Limited Liability Company
• E James Reitano, DDS
• E. Jeanne Salemi LCSW
• E.J Management Services LLC.

• Community/Behavioral Health Agency in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.