Provider Demographics
NPI:1235659368
Name:DYNAMIC COUNSELING ASSOCIATES
Entity Type:Organization
Organization Name:DYNAMIC COUNSELING ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FLEISHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, CSOTS, CCFC
Authorized Official - Phone:610-443-0464
Mailing Address - Street 1:968 POSTAL RD STE 315
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18109-9349
Mailing Address - Country:US
Mailing Address - Phone:610-443-0464
Mailing Address - Fax:
Practice Address - Street 1:968 POSTAL RD STE 315
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18109-9349
Practice Address - Country:US
Practice Address - Phone:610-443-0464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1245760917OtherNPPES