Provider Demographics
NPI:1689957904
Name:DYNAMIC RESOURCES & GUIDANCE INC
Entity Type:Organization
Organization Name:DYNAMIC RESOURCES & GUIDANCE INC
Other - Org Name:DRG COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANJU
Authorized Official - Middle Name:
Authorized Official - Last Name:VERMA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:919-946-5852
Mailing Address - Street 1:5720 CREEDMOOR RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-2256
Mailing Address - Country:US
Mailing Address - Phone:919-977-6018
Mailing Address - Fax:919-300-7471
Practice Address - Street 1:5720 CREEDMOOR RD
Practice Address - Street 2:SUITE 201
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-2256
Practice Address - Country:US
Practice Address - Phone:919-977-6018
Practice Address - Fax:919-300-7471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-22
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0049401041C0700X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6008810Medicaid
NC6106941Medicaid
NC6008810Medicaid