Provider Demographics
NPI:1659683399
Name:DYNAMIC COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:DYNAMIC COUNSELING SERVICES LLC
Other - Org Name:PATRICIA A. TADEMY, LCSW
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:TADEMY
Authorized Official - Suffix:
Authorized Official - Credentials:CSW
Authorized Official - Phone:832-891-9355
Mailing Address - Street 1:5503 CANYON BLUFF CT
Mailing Address - Street 2:
Mailing Address - City:ROSHARON
Mailing Address - State:TX
Mailing Address - Zip Code:77583-2090
Mailing Address - Country:US
Mailing Address - Phone:832-891-9355
Mailing Address - Fax:281-972-9809
Practice Address - Street 1:5503 CANYON BLUFF CT
Practice Address - Street 2:
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583-2090
Practice Address - Country:US
Practice Address - Phone:832-891-9355
Practice Address - Fax:281-972-9809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-10
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20106101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty